| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $19.17 | $23.05 | $131.40 |
Medica
| Facility | 26 | $170.80 | $221.60 | $221.60 |
Brain Imaging <4 Static Views W/Vascular Flow
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $19.17 | $23.05 | $131.40 |
Medica
| Facility | 26 | $170.80 | $221.60 | $221.60 |