| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,091.00 | $2,544.00 | $3,397.00 | |
Hally Health
| Facility | $100.00 | $120.00 | $184.00 |
Ungroupable
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,091.00 | $2,544.00 | $3,397.00 | |
Hally Health
| Facility | $100.00 | $120.00 | $184.00 |