| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $240.19 | $757.23 | $799.89 |
Cigna
| Facility | 26 | $172.08 | $172.08 | $182.83 |
Lucent Health
| Facility | 26 | $657.79 | $747.75 | $747.75 |
Mri Brain Open Intracranial Px W/O Contrast Matl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $240.19 | $757.23 | $799.89 |
Cigna
| Facility | 26 | $172.08 | $172.08 | $182.83 |
Lucent Health
| Facility | 26 | $657.79 | $747.75 | $747.75 |