| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $62.31 | $89.00 | $96.31 |
Hally Health
| Professional | 26 | $55.38 | $81.34 | $228.17 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |
Ergonovine Provocation Tst
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $62.31 | $89.00 | $96.31 |
Hally Health
| Professional | 26 | $55.38 | $81.34 | $228.17 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |