| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $30.54 | $57.05 | $95.16 |
Hally Health
| Professional | 26 | $33.28 | $48.53 | $221.04 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |
Cerebrospinal Fluid Flow W/O Matl Cisternography
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $30.54 | $57.05 | $95.16 |
Hally Health
| Professional | 26 | $33.28 | $48.53 | $221.04 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |