| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $16.93 | $19.88 | $114.70 |
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 | $16.93 | $19.88 | $114.70 |
Medica
| Facility | 26 | $148.88 | $192.88 | $192.88 |