| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $171.69 | $233.48 | $411.26 | |
Providence
| Facility | $171.69 | $233.48 | $439.21 |
Level 1 Imaging with Contrast
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $171.69 | $233.48 | $411.26 | |
Providence
| Facility | $171.69 | $233.48 | $439.21 |