| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $350.49 | $552.79 | $754.72 | |
Cigna
| Facility | $578.99 | $652.90 | $744.16 |
Level 4 Imaging without Contrast
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $350.49 | $552.79 | $754.72 | |
Cigna
| Facility | $578.99 | $652.90 | $744.16 |
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