| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $234.42 | $316.23 | $537.03 | |
Providence
| Facility | $234.42 | $316.23 | $588.84 |
Level 3 Imaging without Contrast
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $234.42 | $316.23 | $537.03 | |
Providence
| Facility | $234.42 | $316.23 | $588.84 |