| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $120.44 | $143.90 | $201.16 |
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 | $120.44 | $143.90 | $201.16 |
Lucent Health
| Facility | 26 | $369.38 | $759.53 | $759.53 |