| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $408.26 | $408.26 | $408.26 |
Health Alliance Plan
| Facility | 26 | $350.93 | $350.93 | $408.26 |
Ephys Eval Pacg Cvdfb Lds W/Tstg Of Pulse Gen
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $408.26 | $408.26 | $408.26 |
Health Alliance Plan
| Facility | 26 | $350.93 | $350.93 | $408.26 |