| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $268.00 | $1,830.61 | $2,814.88 | |
Horizon BCBS
| Facility | $1,318.41 | $1,581.50 | $1,798.12 | |
United
| Facility | $871.67 | $1,040.80 | $1,463.63 |
Quantitative computed tomography (CT) tissue characterization, including interpretation and report, obtained without concurrent CT examination of any structure contained in previously acquired diagnostic imaging
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $268.00 | $1,830.61 | $2,814.88 | |
Horizon BCBS
| Facility | $1,318.41 | $1,581.50 | $1,798.12 | |
United
| Facility | $871.67 | $1,040.80 | $1,463.63 |