| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $25.70 | $77.62 | $199.53 |
Kaiser Permanente
| Professional | 26 | $30.90 | $32.36 | $67.61 |
Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $25.70 | $77.62 | $199.53 |
Kaiser Permanente
| Professional | 26 | $30.90 | $32.36 | $67.61 |