| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $12.84 | $69.43 | $117.03 |
Cigna
| Facility | 26 | $72.23 | $72.23 | $72.23 |
Medica
| Facility | 26 | $100.00 | $100.00 | $100.00 |
Midlands
| Facility | 26 | $44.47 | $45.76 | $72.23 |
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 | $12.84 | $69.43 | $117.03 |
Cigna
| Facility | 26 | $72.23 | $72.23 | $72.23 |
Medica
| Facility | 26 | $100.00 | $100.00 | $100.00 |
Midlands
| Facility | 26 | $44.47 | $45.76 | $72.23 |