| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $112.99 | $112.99 | $275.83 | |
Medcost
| Facility | $117.76 | $267.00 | $360.48 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
Injection, Single, Not Including Neurolytic Substances, With Or Without Contrast, Of Diagnostic Or Therapeutic Substance
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $112.99 | $112.99 | $275.83 | |
Medcost
| Facility | $117.76 | $267.00 | $360.48 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |