| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $141.25 | $234.42 | $512.86 |
Medica
| Facility | 26 | $295.12 | $457.09 | $457.09 |
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 | $141.25 | $234.42 | $512.86 |
Medica
| Facility | 26 | $295.12 | $457.09 | $457.09 |