| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $128.00 | $128.00 | $128.00 |
Regence BlueShield
| Facility | 26 | $878.86 | $878.86 | $878.86 |
Mri Brain Open Intracranial Px W/O Contrast Matl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $128.00 | $128.00 | $128.00 |
Regence BlueShield
| Facility | 26 | $878.86 | $878.86 | $878.86 |