| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $25.38 | $25.38 | $25.38 |
Medcost
| Facility | 26 | $42.00 | $55.00 | $95.34 |
Brain Imaging Min 4 Static Views W Vascular Flow
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $25.38 | $25.38 | $25.38 |
Medcost
| Facility | 26 | $42.00 | $55.00 | $95.34 |