| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $18.84 | $24.20 | $35.61 |
Cigna
| Facility | 26 | $23.56 | $23.56 | $23.56 |
Medcost
| Facility | 26 | $30.00 | $31.50 | $64.93 |
Wellcare
| Facility | 26 | $148.88 | $148.88 | $187.36 |
Brain imaging, less than 4 static views;
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $18.84 | $24.20 | $35.61 |
Cigna
| Facility | 26 | $23.56 | $23.56 | $23.56 |
Medcost
| Facility | 26 | $30.00 | $31.50 | $64.93 |
Wellcare
| Facility | 26 | $148.88 | $148.88 | $187.36 |