| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $10.35 | $10.35 | $10.35 |
Cigna
| Facility | 26 | $10.01 | $10.01 | $10.01 |
Health Alliance Plan
| Facility | 26 | $7.34 | $7.34 | $10.35 |
Radiologic examination, mastoids; less than 3 views per side
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $10.35 | $10.35 | $10.35 |
Cigna
| Facility | 26 | $10.01 | $10.01 | $10.01 |
Health Alliance Plan
| Facility | 26 | $7.34 | $7.34 | $10.35 |