| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $407.89 | $895.49 | $3,218.53 | |
Cigna
| Facility | $1,619.00 | $2,664.00 | $3,494.00 | |
Pacific Source
| Facility | $78.88 | $366.52 | $1,036.32 |
Magnetic Resonance Technology (MRT)-MRI-Brain/Brain Stem
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $407.89 | $895.49 | $3,218.53 | |
Cigna
| Facility | $1,619.00 | $2,664.00 | $3,494.00 | |
Pacific Source
| Facility | $78.88 | $366.52 | $1,036.32 |