| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.53 | $72.47 | $72.47 | |
United
| Professional | $60.93 | $79.11 | $113.50 |
Noncontact R-T Fluor Wnd Img Ea Addl Antmc Site
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.53 | $72.47 | $72.47 | |
United
| Professional | $60.93 | $79.11 | $113.50 |