| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $178.45 | $178.45 | $178.45 |
Sanford Health Plan
| Professional | 26 | $204.59 | $282.64 | $333.88 |
Ephys Eval Pacg Cvdfb Lds Initial Implan/Replace
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $178.45 | $178.45 | $178.45 |
Sanford Health Plan
| Professional | 26 | $204.59 | $282.64 | $333.88 |