| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $233.13 | $317.02 | $558.41 | |
Providence
| Facility | $233.13 | $317.02 | $596.38 |
Level 3 Imaging without Contrast
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $233.13 | $317.02 | $558.41 | |
Providence
| Facility | $233.13 | $317.02 | $596.38 |