| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $104.90 | $104.90 | $125.68 | |
Medcost
| Facility | $33.08 | $76.95 | $106.93 | |
Medcost
| Professional | $14.00 | $71.00 | $90.00 |
Rad-Diag Rad Diag Imaging
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $104.90 | $104.90 | $125.68 | |
Medcost
| Facility | $33.08 | $76.95 | $106.93 | |
Medcost
| Professional | $14.00 | $71.00 | $90.00 |