| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $85.00 | $247.27 | $530.49 |
Cigna
| Facility | 26 | $135.26 | $135.26 | $135.26 |
Kaiser Permanente
| Professional | 26 | $126.10 | $149.03 | $439.11 |
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 | $85.00 | $247.27 | $530.49 |
Cigna
| Facility | 26 | $135.26 | $135.26 | $135.26 |
Kaiser Permanente
| Professional | 26 | $126.10 | $149.03 | $439.11 |