| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $398.00 | $398.00 | $398.00 | |
Midlands
| Facility | $626.02 | $892.94 | $1,229.70 |
Quan Mr Alys Tis Compj Wo Mri Same Sess Mlt Orgn
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $398.00 | $398.00 | $398.00 | |
Midlands
| Facility | $626.02 | $892.94 | $1,229.70 |