| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $30.26 | $30.26 | $30.26 |
Sanford Health Plan
| Professional | 26 | $38.18 | $50.50 | $57.57 |
Brain imaging, minimum 4 static views; with vascular flow
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $30.26 | $30.26 | $30.26 |
Sanford Health Plan
| Professional | 26 | $38.18 | $50.50 | $57.57 |