| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $151.36 | $173.78 | $204.17 |
Kaiser Permanente
| Professional | 26 | $165.96 | $190.55 | $223.87 |
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 | $151.36 | $173.78 | $204.17 |
Kaiser Permanente
| Professional | 26 | $165.96 | $190.55 | $223.87 |