| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $491.46 | $584.44 | $771.45 |
Unlisted Procedure Therapeutic Radiology Tx Mgmt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $491.46 | $584.44 | $771.45 |