| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $24.07 | $24.07 | $24.07 |
Sanford Health Plan
| Professional | 26 | $30.47 | $39.72 | $45.28 |
Brain Imaging <4 Static Views W/Vascular Flow
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $24.07 | $24.07 | $24.07 |
Sanford Health Plan
| Professional | 26 | $30.47 | $39.72 | $45.28 |