| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $363.08 | $549.54 | $1,023.29 | |
Cigna
| Facility | $489.78 | $630.96 | $1,096.48 |
Level 4 Imaging without Contrast
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $363.08 | $549.54 | $1,023.29 | |
Cigna
| Facility | $489.78 | $630.96 | $1,096.48 |
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