| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $169.84 | $169.84 | $169.84 |
Midlands
| Facility | 26 | $516.23 | $516.23 | $516.23 |
Sanford Health Plan
| Professional | 26 | $201.10 | $274.43 | $322.16 |
Mri Brain Open Intracranial Px W/Contrast Matl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $169.84 | $169.84 | $169.84 |
Midlands
| Facility | 26 | $516.23 | $516.23 | $516.23 |
Sanford Health Plan
| Professional | 26 | $201.10 | $274.43 | $322.16 |