| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $50.12 | $60.26 | $95.74 |
Cigna
| Facility | 26 | $63.56 | $63.56 | $63.56 |
Medcost
| Facility | 26 | $75.00 | $81.77 | $165.47 |
Wellcare
| Facility | 26 | $131.63 | $274.36 | $274.36 |
Discography, cervical or thoracic, radiological supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $50.12 | $60.26 | $95.74 |
Cigna
| Facility | 26 | $63.56 | $63.56 | $63.56 |
Medcost
| Facility | 26 | $75.00 | $81.77 | $165.47 |
Wellcare
| Facility | 26 | $131.63 | $274.36 | $274.36 |