| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $11.48 | $24.55 | $58.88 |
BCBS
| Facility | 26 | $15.49 | $15.49 | $15.49 |
Cigna
| Facility | 26 | $3.24 | $17.38 | $41.69 |
Cineradiography/videoradiography to complement routine examination (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $11.48 | $24.55 | $58.88 |
BCBS
| Facility | 26 | $15.49 | $15.49 | $15.49 |
Cigna
| Facility | 26 | $3.24 | $17.38 | $41.69 |
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