| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $73.00 | $113.53 | $237.29 |
Hometown Health
| Professional | 26 | $0.90 | $147.66 | $189.70 |
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 | $73.00 | $113.53 | $237.29 |
Hometown Health
| Professional | 26 | $0.90 | $147.66 | $189.70 |