| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $128.00 | $128.00 | $128.00 |
Regence BlueShield
| Facility | 26 | $324.95 | $324.95 | $324.95 |
Mri Brain Open Intracranial Px W/Contrast Matl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $128.00 | $128.00 | $128.00 |
Regence BlueShield
| Facility | 26 | $324.95 | $324.95 | $324.95 |