| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $174.15 | $174.16 | $174.16 |
Cigna
| Facility | 26 | $182.76 | $182.76 | $182.76 |
Functional cortical and subcortical mapping by stimulation and/or recording of electrodes on brain surface, or of depth electrodes, to provoke seizures or identify vital brain structures; initial hour of attendance by a physician or other qualified health care professional
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $174.15 | $174.16 | $174.16 |
Cigna
| Facility | 26 | $182.76 | $182.76 | $182.76 |