| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $529.50 | $762.48 | $802.72 | |
Cigna
| Facility | $331.29 | $498.67 | $529.92 | |
Well Sense
| Professional | $2,500.00 | $3,000.00 | $4,410.00 |
Unlisted Diagnostic Radiographic Procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $529.50 | $762.48 | $802.72 | |
Cigna
| Facility | $331.29 | $498.67 | $529.92 | |
Well Sense
| Professional | $2,500.00 | $3,000.00 | $4,410.00 |