| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Horizon BCBS
| Professional | $125.89 | $147.91 | $389.05 | |
United
| Facility | $30.90 | $69.18 | $169.82 | |
United
| Professional | $173.78 | $213.80 | $302.00 |
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 |
|---|---|---|---|---|---|
Horizon BCBS
| Professional | $125.89 | $147.91 | $389.05 | |
United
| Facility | $30.90 | $69.18 | $169.82 | |
United
| Professional | $173.78 | $213.80 | $302.00 |