| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $91.38 | $130.75 | $258.99 |
Hally Health
| Professional | 26 | $61.43 | $90.26 | $588.21 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |
Programmed Stimj & Pacg After Iv Drug Nfs
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $91.38 | $130.75 | $258.99 |
Hally Health
| Professional | 26 | $61.43 | $90.26 | $588.21 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |