| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $488.65 | $649.53 | $649.53 |
Hally Health
| Professional | 26 | $434.63 | $604.97 | $1,116.94 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |
Intraop Epicar& Endocar Pacg& Mapg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $488.65 | $649.53 | $649.53 |
Hally Health
| Professional | 26 | $434.63 | $604.97 | $1,116.94 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |