| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $407.38 | $407.38 | $512.86 | |
Medica
| Facility | $426.58 | $426.58 | $1,348.96 | |
Medica
| Professional | $380.19 | $467.74 | $1,949.84 |
Kidney Imaging Morphology Tomographic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $407.38 | $407.38 | $512.86 | |
Medica
| Facility | $426.58 | $426.58 | $1,348.96 | |
Medica
| Professional | $380.19 | $467.74 | $1,949.84 |