| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $19.63 | $21.12 | $25.34 |
Hometown Health
| Professional | 26 | $0.23 | $24.91 | $33.28 |
Brain Imaging <4 Static Views
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $19.63 | $21.12 | $25.34 |
Hometown Health
| Professional | 26 | $0.23 | $24.91 | $33.28 |