| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $73.00 | $96.71 | $201.26 |
Hometown Health
| Professional | 26 | $0.72 | $116.59 | $155.46 |
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 | $73.00 | $96.71 | $201.26 |
Hometown Health
| Professional | 26 | $0.72 | $116.59 | $155.46 |