| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | 26 | $236.61 | $236.61 | $292.50 |
Providence
| Facility | 26 | $236.61 | $236.61 | $292.50 |
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 |
|---|---|---|---|---|---|
Cigna
| Facility | 26 | $236.61 | $236.61 | $292.50 |
Providence
| Facility | 26 | $236.61 | $236.61 | $292.50 |