| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | 26 | $260.80 | $260.80 | $322.39 |
Providence
| Facility | 26 | $260.80 | $260.80 | $322.39 |
Mri Brain Open Intracranial Px W/Contrast Matl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | 26 | $260.80 | $260.80 | $322.39 |
Providence
| Facility | 26 | $260.80 | $260.80 | $322.39 |