| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,184.00 | $1,184.00 | $1,231.00 | |
MVP Health Care
| Professional | $844.25 | $844.25 | $2,318.86 | |
United
| Professional | $966.49 | $1,457.61 | $4,263.89 |
Quan Mr Alys Tiss Composition W/Mri 1orgn
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,184.00 | $1,184.00 | $1,231.00 | |
MVP Health Care
| Professional | $844.25 | $844.25 | $2,318.86 | |
United
| Professional | $966.49 | $1,457.61 | $4,263.89 |