| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $168.67 | $168.67 | $168.67 |
Kaiser Permanente
| Professional | 26 | $159.55 | $220.44 | $334.29 |
Test Select & Admn Functl Brain Map Phys/Qhp
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $168.67 | $168.67 | $168.67 |
Kaiser Permanente
| Professional | 26 | $159.55 | $220.44 | $334.29 |