| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,059.21 | $1,059.21 | $1,059.21 | |
Cigna
| Facility | $950.50 | $950.50 | $950.50 | |
Medica
| Facility | $1,059.21 | $1,059.21 | $1,059.21 |
Qmrcp W/Diagnostic Mri Same Anatomy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,059.21 | $1,059.21 | $1,059.21 | |
Cigna
| Facility | $950.50 | $950.50 | $950.50 | |
Medica
| Facility | $1,059.21 | $1,059.21 | $1,059.21 |