| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $162.18 | $162.18 | $162.18 |
Hometown Health
| Professional | 26 | $1.41 | $173.78 | $239.88 |
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 | $162.18 | $162.18 | $162.18 |
Hometown Health
| Professional | 26 | $1.41 | $173.78 | $239.88 |