| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $118.59 | $559.35 | $1,291.89 |
Kaiser Permanente
| Professional | 26 | $152.69 | $336.25 | $336.25 |
Mri Brain Open Intracranial Px W/O Contrast Matl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $118.59 | $559.35 | $1,291.89 |
Kaiser Permanente
| Professional | 26 | $152.69 | $336.25 | $336.25 |