| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $152.69 | $173.04 | $203.58 |
Cigna
| Facility | 26 | $172.08 | $172.08 | $172.08 |
Kaiser Permanente
| Professional | 26 | $165.88 | $180.96 | $211.12 |
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 | $152.69 | $173.04 | $203.58 |
Cigna
| Facility | 26 | $172.08 | $172.08 | $172.08 |
Kaiser Permanente
| Professional | 26 | $165.88 | $180.96 | $211.12 |