| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $80.67 | $80.67 | $80.67 |
Medcost
| Facility | 26 | $77.64 | $89.43 | $170.83 |
Ctr Motor Ep Std Transcrnl Motor Stimj Upr Limbs
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $80.67 | $80.67 | $80.67 |
Medcost
| Facility | 26 | $77.64 | $89.43 | $170.83 |