| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $73.00 | $144.90 | $324.55 |
Hometown Health
| Professional | 26 | $0.90 | $199.30 | $269.68 |
Mri Brain Open Intracranial Px W/O Contrast Matl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $73.00 | $144.90 | $324.55 |
Hometown Health
| Professional | 26 | $0.90 | $199.30 | $269.68 |