| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $159.22 | $198.05 | $319.33 | |
Medical Mutual of Ohio
| Professional | $51.33 | $96.99 | $236.73 |
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 | $159.22 | $198.05 | $319.33 | |
Medical Mutual of Ohio
| Professional | $51.33 | $96.99 | $236.73 |