| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $126.00 | $126.00 | $126.00 |
Kaiser Permanente
| Professional | 26 | $117.42 | $143.16 | $195.57 |
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 | $126.00 | $126.00 | $126.00 |
Kaiser Permanente
| Professional | 26 | $117.42 | $143.16 | $195.57 |