| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $46.25 | $46.25 | $46.25 |
Health Alliance Plan
| Facility | 26 | $31.76 | $31.76 | $46.25 |
Bone &/Joint Imaging Multiple Areas
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $46.25 | $46.25 | $46.25 |
Health Alliance Plan
| Facility | 26 | $31.76 | $31.76 | $46.25 |