| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $85.00 | $309.83 | $680.34 |
Cigna
| Facility | 26 | $172.08 | $172.08 | $172.08 |
Kaiser Permanente
| Professional | 26 | $160.55 | $231.62 | $536.67 |
Mri Brain Open Intracranial Px W/O Contrast Matl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $85.00 | $309.83 | $680.34 |
Cigna
| Facility | 26 | $172.08 | $172.08 | $172.08 |
Kaiser Permanente
| Professional | 26 | $160.55 | $231.62 | $536.67 |