| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $74.23 | $74.23 | $74.23 |
Medica
| Facility | 26 | $683.29 | $683.29 | $683.29 |
Programmed Stimj & Pacg After Iv Drug Nfs
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $74.23 | $74.23 | $74.23 |
Medica
| Facility | 26 | $683.29 | $683.29 | $683.29 |