| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $115.66 | $213.91 | $235.09 | |
Medica
| Facility | $99.65 | $108.27 | $171.45 | |
Medica
| Professional | $426.00 | $426.00 | $426.00 |
Rad-Diag Rad Diag Imaging
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $115.66 | $213.91 | $235.09 | |
Medica
| Facility | $99.65 | $108.27 | $171.45 | |
Medica
| Professional | $426.00 | $426.00 | $426.00 |