| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $151.36 | $186.21 | $257.04 | |
Medica
| Professional | $870.96 | $870.96 | $870.96 | |
United
| Professional | $85.11 | $100.00 | $158.49 |
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 | $151.36 | $186.21 | $257.04 | |
Medica
| Professional | $870.96 | $870.96 | $870.96 | |
United
| Professional | $85.11 | $100.00 | $158.49 |