| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $20.92 | $20.92 | $20.92 |
Sanford Health Plan
| Professional | 26 | $26.60 | $34.61 | $39.46 |
Brain Imaging <4 Static Views
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $20.92 | $20.92 | $20.92 |
Sanford Health Plan
| Professional | 26 | $26.60 | $34.61 | $39.46 |