| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $24.40 | $46.94 | $79.44 |
Hally Health
| Professional | 26 | $27.72 | $40.51 | $132.16 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |
Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $24.40 | $46.94 | $79.44 |
Hally Health
| Professional | 26 | $27.72 | $40.51 | $132.16 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |