| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $127.53 | $128.19 | $151.10 |
Cigna
| Facility | 26 | $178.90 | $178.90 | $178.90 |
Test Select & Admn Functl Brain Map Phys/Qhp
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $127.53 | $128.19 | $151.10 |
Cigna
| Facility | 26 | $178.90 | $178.90 | $178.90 |