| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $126.00 | $126.00 | $126.00 |
Kaiser Permanente
| Professional | 26 | $100.34 | $121.56 | $165.57 |
Mri Brain Functional W/O Physician Admnistration
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $126.00 | $126.00 | $126.00 |
Kaiser Permanente
| Professional | 26 | $100.34 | $121.56 | $165.57 |