| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $158.85 | $158.85 | $158.85 |
Midlands
| Facility | 26 | $521.45 | $521.45 | $521.45 |
Sanford Health Plan
| Professional | 26 | $199.39 | $267.81 | $305.33 |
Mri Brain Open Intracranial Px W/O & W/Contrast
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $158.85 | $158.85 | $158.85 |
Midlands
| Facility | 26 | $521.45 | $521.45 | $521.45 |
Sanford Health Plan
| Professional | 26 | $199.39 | $267.81 | $305.33 |