| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $538.05 | $538.05 | $538.05 |
Quan Mr Alys Tis Compj Wo Mri Same Sess Mlt Orgn
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $538.05 | $538.05 | $538.05 |