| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.00 | $25.00 | $25.00 | |
Hally Health
| Professional | $41.70 | $251.79 | $402.96 |
Home Visit Stoma Care&Maint Clst&Cstost
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.00 | $25.00 | $25.00 | |
Hally Health
| Professional | $41.70 | $251.79 | $402.96 |