| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $30.62 | $30.62 | $30.62 |
Midlands
| Facility | 26 | $100.41 | $100.41 | $100.41 |
Sanford Health Plan
| Professional | 26 | $38.10 | $51.07 | $58.22 |
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 | $30.62 | $30.62 | $30.62 |
Midlands
| Facility | 26 | $100.41 | $100.41 | $100.41 |
Sanford Health Plan
| Professional | 26 | $38.10 | $51.07 | $58.22 |