| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $177.83 | $467.74 | $645.65 | |
Cigna
| Facility | $87.10 | $169.82 | $416.87 | |
Cigna
| Professional | $89.13 | $162.18 | $371.54 | |
United
| Professional | $181.97 | $181.97 | $181.97 |
Unlisted diagnostic radiographic procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $177.83 | $467.74 | $645.65 | |
Cigna
| Facility | $87.10 | $169.82 | $416.87 | |
Cigna
| Professional | $89.13 | $162.18 | $371.54 | |
United
| Professional | $181.97 | $181.97 | $181.97 |