| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $20.03 | $20.03 | $20.03 |
Medcost
| Facility | 26 | $34.00 | $43.00 | $75.56 |
Brain Imaging <4 Static Views W/Vascular Flow
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $20.03 | $20.03 | $20.03 |
Medcost
| Facility | 26 | $34.00 | $43.00 | $75.56 |