| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $85.00 | $200.81 | $444.30 |
Cigna
| Facility | 26 | $114.94 | $114.94 | $114.94 |
Kaiser Permanente
| Professional | 26 | $107.61 | $171.55 | $375.82 |
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 | $85.00 | $200.81 | $444.30 |
Cigna
| Facility | 26 | $114.94 | $114.94 | $114.94 |
Kaiser Permanente
| Professional | 26 | $107.61 | $171.55 | $375.82 |