| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $199.96 | $199.96 | $249.94 | |
Medica
| Facility | $747.72 | $747.72 | $747.72 |
Rad-Diag Rad Diag Imaging
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $199.96 | $199.96 | $249.94 | |
Medica
| Facility | $747.72 | $747.72 | $747.72 |