| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $153.03 | $157.71 | $405.93 |
Lucent Health
| Facility | 26 | $369.38 | $759.53 | $759.53 |
Test Select & Admn Functl Brain Map Phys/Qhp
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $153.03 | $157.71 | $405.93 |
Lucent Health
| Facility | 26 | $369.38 | $759.53 | $759.53 |