| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.70 | $89.70 | $89.70 | |
BCBS
| Facility | $52.11 | $69.98 | $101.39 | |
Cigna
| Facility | $42.96 | $86.58 | $113.07 | |
Medica
| Facility | $33.38 | $38.81 | $220.19 |
Unlisted Diagnostic Radiographic Procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.70 | $89.70 | $89.70 | |
BCBS
| Facility | $52.11 | $69.98 | $101.39 | |
Cigna
| Facility | $42.96 | $86.58 | $113.07 | |
Medica
| Facility | $33.38 | $38.81 | $220.19 |