| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $524.81 | $724.44 | $933.25 | |
Providence
| Facility | $524.81 | $724.44 | $1,258.93 |
Level 4 Imaging without Contrast
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $524.81 | $724.44 | $933.25 | |
Providence
| Facility | $524.81 | $724.44 | $1,258.93 |