| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $158.49 | $190.55 | $316.23 | |
United
| Facility | $23.99 | $52.48 | $138.04 | |
United
| Professional | $77.62 | $117.49 | $199.53 |
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 | $23.99 | $52.48 | $138.04 | |
United
| Professional | $77.62 | $117.49 | $199.53 |