| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $32.38 | $59.97 | $101.01 |
Hally Health
| Professional | 26 | $35.29 | $48.14 | $105.86 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |
Quant Differential Pulm Perfusion W/Wo Imaging
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $32.38 | $59.97 | $101.01 |
Hally Health
| Professional | 26 | $35.29 | $48.14 | $105.86 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |