| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $102.56 | $139.47 | $245.68 | |
Providence
| Facility | $102.56 | $139.47 | $262.37 |
Level 2 Imaging without Contrast
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $102.56 | $139.47 | $245.68 | |
Providence
| Facility | $102.56 | $139.47 | $262.37 |