| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $306.20 | $306.20 | $306.20 |
Hally Health
| Professional | 26 | $829.67 | $829.67 | $829.67 |
Regence BlueShield
| Facility | 26 | $446.45 | $446.45 | $446.45 |
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 | $306.20 | $306.20 | $306.20 |
Hally Health
| Professional | 26 | $829.67 | $829.67 | $829.67 |
Regence BlueShield
| Facility | 26 | $446.45 | $446.45 | $446.45 |