| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $39.27 | $72.63 | $79.81 | |
Medica
| Facility | $30.28 | $33.76 | $57.78 | |
Medica
| Professional | $163.00 | $163.00 | $163.00 |
Rad-Diag Rad Diag Imaging
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $39.27 | $72.63 | $79.81 | |
Medica
| Facility | $30.28 | $33.76 | $57.78 | |
Medica
| Professional | $163.00 | $163.00 | $163.00 |