| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.12 | $54.25 | $75.22 | |
Aetna
| Professional | $41.41 | $56.95 | $72.33 | |
Molina
| Professional | $38.25 | $45.00 | $68.00 | |
United
| Professional | $51.92 | $73.12 | $124.90 |
Quantitative Us Tiss Charac I&R W/Dx Us Sm Anat
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.12 | $54.25 | $75.22 | |
Aetna
| Professional | $41.41 | $56.95 | $72.33 | |
Molina
| Professional | $38.25 | $45.00 | $68.00 | |
United
| Professional | $51.92 | $73.12 | $124.90 |