| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $131.94 | $164.94 | $230.64 | |
Medica
| Facility | $186.05 | $272.63 | $381.92 | |
Medica
| Professional | $1,381.00 | $1,381.00 | $1,381.00 |
Rad-Diag Rad Diag Imaging
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $131.94 | $164.94 | $230.64 | |
Medica
| Facility | $186.05 | $272.63 | $381.92 | |
Medica
| Professional | $1,381.00 | $1,381.00 | $1,381.00 |