| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | 26 | $37.15 | $37.15 | $45.71 |
Providence
| Facility | 26 | $37.15 | $37.15 | $45.71 |
Brain imaging, less than 4 static views; with vascular flow
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | 26 | $37.15 | $37.15 | $45.71 |
Providence
| Facility | 26 | $37.15 | $37.15 | $45.71 |