| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $189.28 | $189.28 | $189.28 |
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Addl Hr
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $189.28 | $189.28 | $189.28 |