| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $125.89 | $125.89 | $125.89 |
Cigna
| Facility | 26 | $194.98 | $194.98 | $194.98 |
Kaiser Permanente
| Professional | 26 | $114.82 | $131.83 | $177.83 |
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 | $125.89 | $125.89 | $125.89 |
Cigna
| Facility | 26 | $194.98 | $194.98 | $194.98 |
Kaiser Permanente
| Professional | 26 | $114.82 | $131.83 | $177.83 |