| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $262.95 | $262.95 | $262.95 | |
Medica
| Facility | $405.67 | $626.01 | $1,340.15 | |
Medica
| Professional | $1,969.00 | $1,969.00 | $1,969.00 |
Kidney Imaging Morphology Tomographic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $262.95 | $262.95 | $262.95 | |
Medica
| Facility | $405.67 | $626.01 | $1,340.15 | |
Medica
| Professional | $1,969.00 | $1,969.00 | $1,969.00 |