| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $769.34 | $1,559.60 | $3,210.44 | |
Priority Health
| Facility | $769.34 | $1,516.67 | $3,210.44 | |
United
| Professional | $650.00 | $650.00 | $650.00 |
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 | $769.34 | $1,559.60 | $3,210.44 | |
Priority Health
| Facility | $769.34 | $1,516.67 | $3,210.44 | |
United
| Professional | $650.00 | $650.00 | $650.00 |