| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $47.85 | $47.85 | $66.23 |
Cigna
| Facility | 26 | $82.90 | $94.21 | $148.61 |
Quartz
| Facility | 26 | $143.13 | $143.13 | $143.13 |
Intestine Imaging
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $47.85 | $47.85 | $66.23 |
Cigna
| Facility | 26 | $82.90 | $94.21 | $148.61 |
Quartz
| Facility | 26 | $143.13 | $143.13 | $143.13 |