| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $23.43 | $28.93 | $47.61 |
Medica
| Facility | 26 | $148.88 | $148.88 | $148.88 |
Brain imaging, less than 4 static views;
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $23.43 | $28.93 | $47.61 |
Medica
| Facility | 26 | $148.88 | $148.88 | $148.88 |