| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $118.59 | $358.25 | $974.00 |
Kaiser Permanente
| Professional | 26 | $118.66 | $258.89 | $258.89 |
Mri Brain Functional W/Physician Admnistration
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $118.59 | $358.25 | $974.00 |
Kaiser Permanente
| Professional | 26 | $118.66 | $258.89 | $258.89 |