| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $27.91 | $27.91 | $27.91 |
Health Alliance Plan
| Facility | 26 | $19.64 | $19.64 | $27.91 |
Brain imaging, less than 4 static views; with vascular flow
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $27.91 | $27.91 | $27.91 |
Health Alliance Plan
| Facility | 26 | $19.64 | $19.64 | $27.91 |