| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $99.18 | $141.63 | $292.87 |
AllWays Health Partners
| Facility | 26 | $234.72 | $410.49 | $492.86 |
Mass General Brigham
| Facility | 26 | $237.22 | $492.86 | $492.86 |
Mri Brain Functional W/O Physician Admnistration
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $99.18 | $141.63 | $292.87 |
AllWays Health Partners
| Facility | 26 | $234.72 | $410.49 | $492.86 |
Mass General Brigham
| Facility | 26 | $237.22 | $492.86 | $492.86 |