| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | 26 | $32.07 | $32.07 | $39.65 |
Providence
| Facility | 26 | $32.07 | $32.07 | $39.65 |
Brain Imaging <4 Static Views
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | 26 | $32.07 | $32.07 | $39.65 |
Providence
| Facility | 26 | $32.07 | $32.07 | $39.65 |