| 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 |
Test Select & Admn Functl Brain Map Phys/Qhp
| 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 |