| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $228.73 | $351.29 | $408.77 |
Medica
| Facility | 26 | $387.23 | $753.90 | $753.90 |
Mri Brain Open Intracranial Px W/Contrast Matl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $228.73 | $351.29 | $408.77 |
Medica
| Facility | 26 | $387.23 | $753.90 | $753.90 |