| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $159.41 | $200.45 | $335.53 | |
Medica
| Facility | $30.71 | $165.17 | $625.83 | |
Medica
| Professional | $921.00 | $921.00 | $921.00 |
Rad-Diag Rad Diag Imaging
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $159.41 | $200.45 | $335.53 | |
Medica
| Facility | $30.71 | $165.17 | $625.83 | |
Medica
| Professional | $921.00 | $921.00 | $921.00 |