| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $18.20 | $33.75 | $79.80 |
Kaiser Permanente
| Professional | 26 | $19.96 | $25.90 | $26.98 |
Medcost
| Facility | 26 | $30.00 | $30.00 | $31.31 |
Brain imaging, less than 4 static views;
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $18.20 | $33.75 | $79.80 |
Kaiser Permanente
| Professional | 26 | $19.96 | $25.90 | $26.98 |
Medcost
| Facility | 26 | $30.00 | $30.00 | $31.31 |