| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $167.70 | $220.98 | $391.14 |
Cigna
| Facility | 26 | $189.68 | $189.68 | $189.68 |
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); with contrast material(s)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $167.70 | $220.98 | $391.14 |
Cigna
| Facility | 26 | $189.68 | $189.68 | $189.68 |
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