| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $264.58 | $834.46 | $881.48 |
Cigna
| Facility | 26 | $189.68 | $189.68 | $201.48 |
Lucent Health
| Facility | 26 | $731.04 | $827.26 | $827.26 |
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 | $264.58 | $834.46 | $881.48 |
Cigna
| Facility | 26 | $189.68 | $189.68 | $201.48 |
Lucent Health
| Facility | 26 | $731.04 | $827.26 | $827.26 |