| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $77.89 | $77.89 | $77.89 |
Cigna
| Facility | 26 | $74.26 | $74.26 | $74.26 |
Health Alliance Plan
| Facility | 26 | $51.95 | $51.95 | $77.89 |
Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $77.89 | $77.89 | $77.89 |
Cigna
| Facility | 26 | $74.26 | $74.26 | $74.26 |
Health Alliance Plan
| Facility | 26 | $51.95 | $51.95 | $77.89 |