| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $155.02 | $155.02 | $155.02 |
Health Alliance Plan
| Facility | 26 | $124.57 | $124.57 | $155.02 |
Bundle Of His Recording
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $155.02 | $155.02 | $155.02 |
Health Alliance Plan
| Facility | 26 | $124.57 | $124.57 | $155.02 |