| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $43.85 | $87.84 | $139.29 |
Hally Health
| Professional | 26 | $48.61 | $71.59 | $293.95 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $43.85 | $87.84 | $139.29 |
Hally Health
| Professional | 26 | $48.61 | $71.59 | $293.95 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |