| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $255.09 | $255.09 | $255.09 |
Sanford Health Plan
| Professional | 26 | $290.60 | $403.63 | $474.82 |
Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $255.09 | $255.09 | $255.09 |
Sanford Health Plan
| Professional | 26 | $290.60 | $403.63 | $474.82 |