| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $29.23 | $70.70 | $88.39 |
Medica
| Facility | 26 | $148.88 | $192.88 | $192.88 |
Brain Imaging <4 Static Views
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $29.23 | $70.70 | $88.39 |
Medica
| Facility | 26 | $148.88 | $192.88 | $192.88 |