| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $20.50 | $20.50 | $75.06 |
AllWays Health Partners
| Facility | 26 | $28.41 | $64.03 | $132.94 |
Mass General Brigham
| Facility | 26 | $64.03 | $132.94 | $132.94 |
Liver & Spleen Imaging W/Vascular Flow
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $20.50 | $20.50 | $75.06 |
AllWays Health Partners
| Facility | 26 | $28.41 | $64.03 | $132.94 |
Mass General Brigham
| Facility | 26 | $64.03 | $132.94 | $132.94 |