| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $201.95 | $201.95 | $201.95 | |
Medica
| Facility | $367.41 | $729.98 | $2,070.00 | |
Medica
| Professional | $6,266.00 | $6,266.00 | $6,266.00 |
Rad-Diag Rad Diag Imaging
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $201.95 | $201.95 | $201.95 | |
Medica
| Facility | $367.41 | $729.98 | $2,070.00 | |
Medica
| Professional | $6,266.00 | $6,266.00 | $6,266.00 |