| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $383.35 | $383.35 | $383.35 |
Health Alliance Plan
| Facility | 26 | $301.05 | $301.05 | $383.35 |
Electrocorticogram Surgery Spx
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $383.35 | $383.35 | $383.35 |
Health Alliance Plan
| Facility | 26 | $301.05 | $301.05 | $383.35 |