| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $281.45 | $281.45 | $281.45 | |
BCBS
| Facility | $76.62 | $76.62 | $83.36 | |
Cigna
| Facility | $41.39 | $70.94 | $121.13 |
Unlisted Diagnostic Radiographic Procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $281.45 | $281.45 | $281.45 | |
BCBS
| Facility | $76.62 | $76.62 | $83.36 | |
Cigna
| Facility | $41.39 | $70.94 | $121.13 |