| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | 26 | $86.76 | $86.76 | $107.25 |
Providence
| Facility | 26 | $86.76 | $86.76 | $107.25 |
Diskograpy Cervical/Thoracic Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | 26 | $86.76 | $86.76 | $107.25 |
Providence
| Facility | 26 | $86.76 | $86.76 | $107.25 |