| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $27.53 | $33.57 | $51.10 |
Cigna
| Facility | 26 | $35.40 | $35.40 | $35.40 |
Medcost
| Facility | 26 | $45.69 | $54.00 | $81.45 |
Wellcare
| Facility | 26 | $93.26 | $147.30 | $147.30 |
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 | $27.53 | $33.57 | $51.10 |
Cigna
| Facility | 26 | $35.40 | $35.40 | $35.40 |
Medcost
| Facility | 26 | $45.69 | $54.00 | $81.45 |
Wellcare
| Facility | 26 | $93.26 | $147.30 | $147.30 |