| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | 26 | $72.56 | $72.56 | $89.70 |
Providence
| Facility | 26 | $72.56 | $72.56 | $89.70 |
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | 26 | $72.56 | $72.56 | $89.70 |
Providence
| Facility | 26 | $72.56 | $72.56 | $89.70 |