| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $296.70 | $315.10 | $353.33 | |
BCBS
| Facility | $0.02 | $1,858.64 | $2,165.62 | |
BCBS
| Professional | $0.02 | $0.02 | $0.02 | |
United
| Professional | $254.25 | $378.12 | $693.32 |
Quan Mr Alys Tiss Composition W/Mri Mlt Organs
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $296.70 | $315.10 | $353.33 | |
BCBS
| Facility | $0.02 | $1,858.64 | $2,165.62 | |
BCBS
| Professional | $0.02 | $0.02 | $0.02 | |
United
| Professional | $254.25 | $378.12 | $693.32 |