| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $119.50 | $133.60 | $684.85 |
Cigna
| Facility | 26 | $117.93 | $117.93 | $166.95 |
Medica
| Facility | 26 | $280.44 | $535.50 | $535.50 |
Mri Brain Functional W/Physician Admnistration
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $119.50 | $133.60 | $684.85 |
Cigna
| Facility | 26 | $117.93 | $117.93 | $166.95 |
Medica
| Facility | 26 | $280.44 | $535.50 | $535.50 |