| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $244.15 | $252.90 | $291.50 | |
United
| Professional | $248.86 | $375.22 | $712.04 |
Quan Mr Alys Tiss Composition W/Mri Mlt Organs
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $244.15 | $252.90 | $291.50 | |
United
| Professional | $248.86 | $375.22 | $712.04 |