| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $30.72 | $30.72 | $38.70 |
Health Alliance Plan
| Facility | 26 | $21.77 | $21.77 | $32.25 |
Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $30.72 | $30.72 | $38.70 |
Health Alliance Plan
| Facility | 26 | $21.77 | $21.77 | $32.25 |