| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $158.49 | $338.84 | $1,905.46 | |
Cigna
| Professional | $288.40 | $338.84 | $575.44 | |
United
| Facility | $30.90 | $100.00 | $223.87 | |
United
| Professional | $162.18 | $194.98 | $281.84 |
Radiologic examination, complex motion (ie, hypercycloidal) body section (eg, mastoid polytomography), other than with urography; bilateral
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $158.49 | $338.84 | $1,905.46 | |
Cigna
| Professional | $288.40 | $338.84 | $575.44 | |
United
| Facility | $30.90 | $100.00 | $223.87 | |
United
| Professional | $162.18 | $194.98 | $281.84 |