| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $420.54 | $420.54 | $420.54 | |
Priority Health
| Facility | $420.54 | $420.54 | $420.54 |
Level 2 Imaging with Contrast
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $420.54 | $420.54 | $420.54 | |
Priority Health
| Facility | $420.54 | $420.54 | $420.54 |