| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $392.97 | $392.97 | $392.97 | |
Medica
| Facility | $177.15 | $847.20 | $1,004.93 | |
United
| Facility | $803.66 | $803.66 | $949.33 |
Unlisted musculoskeletal procedure, diagnostic nuclear medicine
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $392.97 | $392.97 | $392.97 | |
Medica
| Facility | $177.15 | $847.20 | $1,004.93 | |
United
| Facility | $803.66 | $803.66 | $949.33 |