| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $19.05 | $37.15 | $61.66 |
Hally Health
| Professional | 26 | $21.38 | $32.36 | $131.83 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |
Brain imaging, less than 4 static views;
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $19.05 | $37.15 | $61.66 |
Hally Health
| Professional | 26 | $21.38 | $32.36 | $131.83 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |