| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $159.94 | $159.94 | $170.45 |
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Addl Hr
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $159.94 | $159.94 | $170.45 |