| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,244.32 | $21,971.33 | $21,971.33 | |
Martin's Point
| Facility | $21,971.33 | $21,971.33 | $21,971.33 |
Compre Ep Eval Abltj 3d Mapg Tx Vt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,244.32 | $21,971.33 | $21,971.33 | |
Martin's Point
| Facility | $21,971.33 | $21,971.33 | $21,971.33 |