| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $84.92 | $115.48 | $149.10 | |
Providence
| Facility | $84.92 | $115.48 | $203.40 |
Level 1 Imaging without Contrast
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $84.92 | $115.48 | $149.10 | |
Providence
| Facility | $84.92 | $115.48 | $203.40 |