| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $17.98 | $35.19 | $47.61 |
Medica
| Facility | 26 | $148.88 | $192.88 | $192.88 |
Brain imaging, less than 4 static views;
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $17.98 | $35.19 | $47.61 |
Medica
| Facility | 26 | $148.88 | $192.88 | $192.88 |