| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $27.24 | $30.55 | $53.89 |
Medica
| Facility | 26 | $170.80 | $170.80 | $170.80 |
Brain imaging, less than 4 static views; with vascular flow
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $27.24 | $30.55 | $53.89 |
Medica
| Facility | 26 | $170.80 | $170.80 | $170.80 |