| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $190.33 | $613.40 | $647.96 |
Cigna
| Facility | 26 | $123.42 | $123.42 | $135.26 |
Lucent Health
| Facility | 26 | $280.44 | $578.22 | $578.22 |
Mri Brain Functional W/Physician Admnistration
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $190.33 | $613.40 | $647.96 |
Cigna
| Facility | 26 | $123.42 | $123.42 | $135.26 |
Lucent Health
| Facility | 26 | $280.44 | $578.22 | $578.22 |