| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $79.66 | $103.56 | $103.56 |
Cigna
| Facility | 26 | $164.45 | $164.45 | $164.45 |
Kaiser Permanente
| Professional | 26 | $103.56 | $131.44 | $302.25 |
Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $79.66 | $103.56 | $103.56 |
Cigna
| Facility | 26 | $164.45 | $164.45 | $164.45 |
Kaiser Permanente
| Professional | 26 | $103.56 | $131.44 | $302.25 |