| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $20.66 | $32.75 | $53.89 |
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 | $20.66 | $32.75 | $53.89 |
Medica
| Facility | 26 | $170.80 | $221.60 | $221.60 |