| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $21.88 | $42.66 | $70.79 |
Hally Health
| Professional | 26 | $24.55 | $37.15 | $154.88 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |
Brain imaging, less than 4 static views; with vascular flow
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $21.88 | $42.66 | $70.79 |
Hally Health
| Professional | 26 | $24.55 | $37.15 | $154.88 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |