| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $148.10 | $192.53 | $192.53 |
Cigna
| Facility | 26 | $229.12 | $229.12 | $297.05 |
Kaiser Permanente
| Professional | 26 | $192.53 | $239.92 | $362.85 |
Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); without contrast material
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $148.10 | $192.53 | $192.53 |
Cigna
| Facility | 26 | $229.12 | $229.12 | $297.05 |
Kaiser Permanente
| Professional | 26 | $192.53 | $239.92 | $362.85 |