| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,059.21 | $1,059.21 | $1,059.21 | |
Medica
| Facility | $1,517.11 | $1,790.06 | $2,118.42 |
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 | |
Medica
| Facility | $1,517.11 | $1,790.06 | $2,118.42 |