| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $189.49 | $189.49 | $189.49 |
Medcost
| Facility | 26 | $179.22 | $243.00 | $434.41 |
Mri Brain Open Intracranial Px W/O Contrast Matl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $189.49 | $189.49 | $189.49 |
Medcost
| Facility | 26 | $179.22 | $243.00 | $434.41 |