| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $219.42 | $530.80 | $663.48 |
Cigna
| Facility | 26 | $179.34 | $179.34 | $179.34 |
Medica
| Facility | 26 | $714.54 | $714.54 | $714.54 |
Mri Brain Open Intracranial Px W/O & W/Contrast
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $219.42 | $530.80 | $663.48 |
Cigna
| Facility | 26 | $179.34 | $179.34 | $179.34 |
Medica
| Facility | 26 | $714.54 | $714.54 | $714.54 |