| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $19.05 | $20.89 | $28.18 |
Lucent Health
| Facility | 26 | $275.42 | $275.42 | $275.42 |
Moda Health
| Facility | 26 | $19.05 | $20.89 | $23.99 |
Brain imaging, minimum 4 static views; with vascular flow
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $19.05 | $20.89 | $28.18 |
Lucent Health
| Facility | 26 | $275.42 | $275.42 | $275.42 |
Moda Health
| Facility | 26 | $19.05 | $20.89 | $23.99 |