| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $470.94 | $470.94 | $470.94 | |
Cigna
| Professional | $786.29 | $988.70 | $1,654.98 | |
Molina
| Professional | $30.00 | $30.00 | $50.00 |
Mri Breast Bilateral
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $470.94 | $470.94 | $470.94 | |
Cigna
| Professional | $786.29 | $988.70 | $1,654.98 | |
Molina
| Professional | $30.00 | $30.00 | $50.00 |