| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $15.14 | $16.98 | $22.39 |
Lucent Health
| Facility | 26 | $213.80 | $213.80 | $213.80 |
Moda Health
| Facility | 26 | $15.14 | $16.98 | $19.05 |
Brain imaging, less than 4 static views; with vascular flow
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $15.14 | $16.98 | $22.39 |
Lucent Health
| Facility | 26 | $213.80 | $213.80 | $213.80 |
Moda Health
| Facility | 26 | $15.14 | $16.98 | $19.05 |