| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $158.49 | $190.55 | $316.23 | |
United
| Facility | $21.38 | $47.86 | $125.89 | |
United
| Professional | $64.57 | $109.65 | $190.55 |
Radiologic examination, complex motion (ie, hypercycloidal) body section (eg, mastoid polytomography), other than with urography; unilateral
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $158.49 | $190.55 | $316.23 | |
United
| Facility | $21.38 | $47.86 | $125.89 | |
United
| Professional | $64.57 | $109.65 | $190.55 |