| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $930.32 | $930.32 | $930.32 | |
Priority Health
| Facility | $930.32 | $930.32 | $930.32 |
Level 3 Imaging with Contrast
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $930.32 | $930.32 | $930.32 | |
Priority Health
| Facility | $930.32 | $930.32 | $930.32 |