| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $67.61 | $67.61 | $104.71 |
Medica
| Facility | 26 | $295.12 | $295.12 | $295.12 |
Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $67.61 | $67.61 | $104.71 |
Medica
| Facility | 26 | $295.12 | $295.12 | $295.12 |