| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Horizon BCBS
| Professional | $85.11 | $100.00 | $288.40 | |
United
| Facility | $30.20 | $56.23 | $169.82 | |
United
| Professional | $100.00 | $120.23 | $223.87 |
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 |
|---|---|---|---|---|---|
Horizon BCBS
| Professional | $85.11 | $100.00 | $288.40 | |
United
| Facility | $30.20 | $56.23 | $169.82 | |
United
| Professional | $100.00 | $120.23 | $223.87 |