| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $17.43 | $17.43 | $17.43 |
Medcost
| Facility | 26 | $31.31 | $37.00 | $66.00 |
Brain Imaging <4 Static Views
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $17.43 | $17.43 | $17.43 |
Medcost
| Facility | 26 | $31.31 | $37.00 | $66.00 |