| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $158.49 | $457.09 | $1,096.48 | |
Cigna
| Professional | $158.49 | $190.55 | $316.23 | |
United
| Facility | $30.20 | $74.13 | $154.88 | |
United
| Professional | $91.20 | $112.20 | $181.97 |
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 |
|---|---|---|---|---|---|
BCBS
| Facility | $158.49 | $457.09 | $1,096.48 | |
Cigna
| Professional | $158.49 | $190.55 | $316.23 | |
United
| Facility | $30.20 | $74.13 | $154.88 | |
United
| Professional | $91.20 | $112.20 | $181.97 |