| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $24.32 | $24.32 | $24.32 |
Health Alliance Plan
| Facility | 26 | $16.60 | $16.60 | $24.32 |
Brain imaging, less than 4 static views;
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $24.32 | $24.32 | $24.32 |
Health Alliance Plan
| Facility | 26 | $16.60 | $16.60 | $24.32 |