| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $269.15 | $338.84 | $467.74 | |
Medica
| Professional | $1,174.90 | $1,174.90 | $1,174.90 | |
United
| Professional | $151.36 | $177.83 | $204.17 |
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 |
|---|---|---|---|---|---|
Cigna
| Professional | $269.15 | $338.84 | $467.74 | |
Medica
| Professional | $1,174.90 | $1,174.90 | $1,174.90 | |
United
| Professional | $151.36 | $177.83 | $204.17 |