| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $25.62 | $25.62 | $35.28 |
Medcost
| Facility | 26 | $45.26 | $56.00 | $81.45 |
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 | $25.62 | $25.62 | $35.28 |
Medcost
| Facility | 26 | $45.26 | $56.00 | $81.45 |