| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $87.76 | $97.52 | $97.52 |
Cigna
| Facility | 26 | $114.94 | $114.94 | $114.94 |
Mri Brain Functional W/O Physician Admnistration
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $87.76 | $97.52 | $97.52 |
Cigna
| Facility | 26 | $114.94 | $114.94 | $114.94 |