| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $145.28 | $145.28 | $145.28 |
Medcost
| Facility | 26 | $146.15 | $148.44 | $370.37 |
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 | $145.28 | $145.28 | $145.28 |
Medcost
| Facility | 26 | $146.15 | $148.44 | $370.37 |