| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $151.36 | $323.59 | $323.59 |
Medica
| Facility | 26 | $724.44 | $724.44 | $724.44 |
Midlands
| Professional | 26 | $309.03 | $338.84 | $426.58 |
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 | $151.36 | $323.59 | $323.59 |
Medica
| Facility | 26 | $724.44 | $724.44 | $724.44 |
Midlands
| Professional | 26 | $309.03 | $338.84 | $426.58 |