| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $168.90 | $191.41 | $225.19 |
Cigna
| Facility | 26 | $189.68 | $189.68 | $189.68 |
Kaiser Permanente
| Professional | 26 | $183.49 | $200.17 | $233.53 |
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 | $168.90 | $191.41 | $225.19 |
Cigna
| Facility | 26 | $189.68 | $189.68 | $189.68 |
Kaiser Permanente
| Professional | 26 | $183.49 | $200.17 | $233.53 |