| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $160.08 | $160.08 | $160.08 | |
Aetna
| Professional | $144.00 | $144.00 | $144.00 | |
BCBS
| Facility | $64,999.99 | $81,499.99 | $94,999.99 |
Unlisted Diagnostic Radiographic Procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $160.08 | $160.08 | $160.08 | |
Aetna
| Professional | $144.00 | $144.00 | $144.00 | |
BCBS
| Facility | $64,999.99 | $81,499.99 | $94,999.99 |