| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $21.12 | $25.38 | $146.32 |
Medica
| Facility | 26 | $62.14 | $119.85 | $119.85 |
Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $21.12 | $25.38 | $146.32 |
Medica
| Facility | 26 | $62.14 | $119.85 | $119.85 |