| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $173.78 | $338.84 | $812.83 |
Medica
| Facility | 26 | $281.84 | $537.03 | $537.03 |
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 | $173.78 | $338.84 | $812.83 |
Medica
| Facility | 26 | $281.84 | $537.03 | $537.03 |