| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $354.81 | $436.52 | $478.63 |
Cigna
| Facility | 26 | $24.55 | $114.82 | $165.96 |
Medica
| Facility | 26 | $295.12 | $457.09 | $457.09 |
Magnetic resonance imaging, brain, functional MRI; including test selection and administration of repetitive body part movement and/or visual stimulation, not requiring physician or psychologist administration
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $354.81 | $436.52 | $478.63 |
Cigna
| Facility | 26 | $24.55 | $114.82 | $165.96 |
Medica
| Facility | 26 | $295.12 | $457.09 | $457.09 |