| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $761.98 | $1,036.20 | $1,825.20 | |
Providence
| Facility | $761.98 | $1,036.20 | $1,949.24 |
Level 3 Imaging with Contrast
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $761.98 | $1,036.20 | $1,825.20 | |
Providence
| Facility | $761.98 | $1,036.20 | $1,949.24 |