| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $158.49 | $234.42 | $616.60 |
AllWays Health Partners
| Facility | 26 | $363.08 | $630.96 | $977.24 |
Mass General Brigham
| Facility | 26 | $363.08 | $630.96 | $977.24 |
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 | $158.49 | $234.42 | $616.60 |
AllWays Health Partners
| Facility | 26 | $363.08 | $630.96 | $977.24 |
Mass General Brigham
| Facility | 26 | $363.08 | $630.96 | $977.24 |