| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $50.98 | $50.98 | $70.56 |
Cigna
| Facility | 26 | $88.31 | $100.35 | $158.31 |
Quartz
| Facility | 26 | $190.00 | $190.00 | $190.00 |
Rp Loclzj Tum Plnr 2+Area 1+D Img/1 Area Img>2+D
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $50.98 | $50.98 | $70.56 |
Cigna
| Facility | 26 | $88.31 | $100.35 | $158.31 |
Quartz
| Facility | 26 | $190.00 | $190.00 | $190.00 |