| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $166.03 | $401.66 | $502.04 |
Cigna
| Facility | 26 | $135.26 | $135.26 | $135.26 |
Medica
| Facility | 26 | $535.50 | $535.50 | $535.50 |
Mri Brain Functional W/Physician Admnistration
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $166.03 | $401.66 | $502.04 |
Cigna
| Facility | 26 | $135.26 | $135.26 | $135.26 |
Medica
| Facility | 26 | $535.50 | $535.50 | $535.50 |