| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $187.42 | $192.78 | $262.38 |
Medica
| Facility | 26 | $369.38 | $369.38 | $369.38 |
Neurofunctional testing selection and administration during noninvasive imaging functional brain mapping, with test administered entirely by a physician or other qualified health care professional (ie, psychologist), with review of test results and report
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $187.42 | $192.78 | $262.38 |
Medica
| Facility | 26 | $369.38 | $369.38 | $369.38 |