| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $164.42 | $164.42 | $164.42 |
Medcost
| Facility | 26 | $178.03 | $184.76 | $330.75 |
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 | $164.42 | $164.42 | $164.42 |
Medcost
| Facility | 26 | $178.03 | $184.76 | $330.75 |