| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $822.68 | $822.68 | $822.68 | |
Cigna
| Professional | $99.99 | $99.99 | $99.99 | |
United
| Facility | $358.82 | $358.82 | $358.82 |
Unlisted musculoskeletal procedure, diagnostic nuclear medicine
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $822.68 | $822.68 | $822.68 | |
Cigna
| Professional | $99.99 | $99.99 | $99.99 | |
United
| Facility | $358.82 | $358.82 | $358.82 |