| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $123.03 | $251.19 | $575.44 |
Cigna
| Facility | 26 | $28.84 | $154.88 | $371.54 |
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 | $123.03 | $251.19 | $575.44 |
Cigna
| Facility | 26 | $28.84 | $154.88 | $371.54 |
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