| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $33.04 | $79.94 | $99.91 |
Medica
| Facility | 26 | $170.80 | $221.60 | $221.60 |
Brain imaging, less than 4 static views; with vascular flow
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $33.04 | $79.94 | $99.91 |
Medica
| Facility | 26 | $170.80 | $221.60 | $221.60 |