| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $28.91 | $31.24 | $37.49 |
Hometown Health
| Professional | 26 | $0.34 | $35.02 | $49.26 |
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 | $28.91 | $31.24 | $37.49 |
Hometown Health
| Professional | 26 | $0.34 | $35.02 | $49.26 |