| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $19.05 | $24.55 | $147.91 |
Medica
| Facility | 26 | $169.82 | $223.87 | $223.87 |
Brain imaging, less than 4 static views; with vascular flow
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $19.05 | $24.55 | $147.91 |
Medica
| Facility | 26 | $169.82 | $223.87 | $223.87 |