| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $103.74 | $155.88 | $197.47 | |
Cigna
| Facility | $173.34 | $173.34 | $368.92 |
Unlisted Diagnostic Radiographic Procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $103.74 | $155.88 | $197.47 | |
Cigna
| Facility | $173.34 | $173.34 | $368.92 |