| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $85.00 | $311.89 | $693.85 |
Cigna
| Facility | 26 | $179.34 | $179.34 | $179.34 |
Kaiser Permanente
| Professional | 26 | $169.08 | $257.02 | $569.21 |
Mri Brain Open Intracranial Px W/O & W/Contrast
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $85.00 | $311.89 | $693.85 |
Cigna
| Facility | 26 | $179.34 | $179.34 | $179.34 |
Kaiser Permanente
| Professional | 26 | $169.08 | $257.02 | $569.21 |