| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $137.77 | $137.77 | $137.77 | |
Cigna
| Professional | $30.80 | $30.80 | $30.80 |
Unlisted diagnostic radiographic procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $137.77 | $137.77 | $137.77 | |
Cigna
| Professional | $30.80 | $30.80 | $30.80 |