| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $21.21 | $21.21 | $21.21 |
Medcost
| Facility | 26 | $39.32 | $47.00 | $81.90 |
Bone Marrow Imaging Limited Area
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $21.21 | $21.21 | $21.21 |
Medcost
| Facility | 26 | $39.32 | $47.00 | $81.90 |