| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $344.44 | $468.40 | $825.05 | |
Providence
| Facility | $344.44 | $468.40 | $881.12 |
Level 2 Imaging with Contrast
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $344.44 | $468.40 | $825.05 | |
Providence
| Facility | $344.44 | $468.40 | $881.12 |