| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $527.86 | $527.86 | $750.00 | |
Molina
| Professional | $38.25 | $50.00 | $80.00 | |
United
| Facility | $376.00 | $376.00 | $376.00 |
Quan Mr Alys Tis Compj Wo Mri Same Sess Mlt Orgn
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $527.86 | $527.86 | $750.00 | |
Molina
| Professional | $38.25 | $50.00 | $80.00 | |
United
| Facility | $376.00 | $376.00 | $376.00 |