| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $159.60 | $159.60 | $204.97 |
Cigna
| Facility | 26 | $189.68 | $189.68 | $189.68 |
Mri Brain Open Intracranial Px W/Contrast Matl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $159.60 | $159.60 | $204.97 |
Cigna
| Facility | 26 | $189.68 | $189.68 | $189.68 |