| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $167.66 | $167.66 | $167.66 |
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $167.66 | $167.66 | $167.66 |