| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $79.90 | $79.90 | $231.01 |
Medica
| Facility | 26 | $188.39 | $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 | $79.90 | $79.90 | $231.01 |
Medica
| Facility | 26 | $188.39 | $683.29 | $683.29 |