| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $171.51 | $171.51 | $582.92 |
Cigna
| Facility | 26 | $410.01 | $479.13 | $735.00 |
Quartz
| Facility | 26 | $725.43 | $725.43 | $725.43 |
Test Select & Admn Functl Brain Map Phys/Qhp
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $171.51 | $171.51 | $582.92 |
Cigna
| Facility | 26 | $410.01 | $479.13 | $735.00 |
Quartz
| Facility | 26 | $725.43 | $725.43 | $725.43 |