| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $126.00 | $126.00 | $126.00 |
Kaiser Permanente
| Professional | 26 | $157.72 | $190.64 | $260.32 |
Mri Brain Open Intracranial Px W/O & W/Contrast
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $126.00 | $126.00 | $126.00 |
Kaiser Permanente
| Professional | 26 | $157.72 | $190.64 | $260.32 |