| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $386.22 | $386.22 | $386.22 | |
Moda Health
| Facility | $95.26 | $95.26 | $136.22 | |
Providence
| Facility | $95.26 | $95.26 | $386.22 |
Quantitative ultrasound tissue characterization (non-elastographic), including interpretation and report, obtained without diagnostic ultrasound examination of the same anatomy (eg, organ, gland, tissue, target structure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $386.22 | $386.22 | $386.22 | |
Moda Health
| Facility | $95.26 | $95.26 | $136.22 | |
Providence
| Facility | $95.26 | $95.26 | $386.22 |