| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $23.29 | $45.03 | $59.42 |
Medica
| Facility | 26 | $64.03 | $122.62 | $122.62 |
Liver and spleen imaging; with vascular flow
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $23.29 | $45.03 | $59.42 |
Medica
| Facility | 26 | $64.03 | $122.62 | $122.62 |