| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $100.47 | $113.87 | $133.96 |
Cigna
| Facility | 26 | $114.94 | $114.94 | $114.94 |
Kaiser Permanente
| Professional | 26 | $109.15 | $119.08 | $138.91 |
Mri Brain Functional W/O Physician Admnistration
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $100.47 | $113.87 | $133.96 |
Cigna
| Facility | 26 | $114.94 | $114.94 | $114.94 |
Kaiser Permanente
| Professional | 26 | $109.15 | $119.08 | $138.91 |