| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $204.42 | $254.25 | $409.97 | |
Medcost
| Facility | $105.98 | $153.72 | $304.27 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
X-Ray Bile Stone Removal
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $204.42 | $254.25 | $409.97 | |
Medcost
| Facility | $105.98 | $153.72 | $304.27 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |