| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $336.28 | $587.94 | $1,127.50 | |
Cigna
| Facility | $620.00 | $825.00 | $1,612.00 | |
Qualchoice
| Facility | $460.74 | $754.00 | $1,880.26 |
MRI - Brain (Including Brainstem)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $336.28 | $587.94 | $1,127.50 | |
Cigna
| Facility | $620.00 | $825.00 | $1,612.00 | |
Qualchoice
| Facility | $460.74 | $754.00 | $1,880.26 |