| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $40.86 | $76.03 | $116.90 | |
Cigna
| Professional | $285.64 | $355.28 | $572.88 | |
Medical Mutual of Ohio
| Professional | $51.33 | $118.62 | $315.44 |
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 |
|---|---|---|---|---|---|
CareSource
| Facility | $40.86 | $76.03 | $116.90 | |
Cigna
| Professional | $285.64 | $355.28 | $572.88 | |
Medical Mutual of Ohio
| Professional | $51.33 | $118.62 | $315.44 |