| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $285.64 | $342.24 | $572.88 | |
MVP Health Care
| Facility | $105.94 | $153.97 | $254.50 | |
MVP Health Care
| Professional | $285.64 | $342.24 | $572.88 |
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 | $285.64 | $342.24 | $572.88 | |
MVP Health Care
| Facility | $105.94 | $153.97 | $254.50 | |
MVP Health Care
| Professional | $285.64 | $342.24 | $572.88 |