| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $125.78 | $173.28 | $279.13 |
Cigna
| Facility | 26 | $135.26 | $135.26 | $135.26 |
Magnetic resonance imaging, brain, functional MRI; requiring physician or psychologist administration of entire neurofunctional testing
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $125.78 | $173.28 | $279.13 |
Cigna
| Facility | 26 | $135.26 | $135.26 | $135.26 |
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