| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $62.50 | $100.74 | $415.44 |
Cigna
| Facility | 26 | $135.26 | $135.26 | $362.87 |
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 | $62.50 | $100.74 | $415.44 |
Cigna
| Facility | 26 | $135.26 | $135.26 | $362.87 |