| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $165.96 | $169.82 | $169.82 |
Midlands
| Professional | 26 | $323.59 | $338.84 | $389.05 |
Sanford Health Plan
| Professional | 26 | $181.97 | $257.04 | $331.13 |
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 | $165.96 | $169.82 | $169.82 |
Midlands
| Professional | 26 | $323.59 | $338.84 | $389.05 |
Sanford Health Plan
| Professional | 26 | $181.97 | $257.04 | $331.13 |