| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.79 | $12.53 | $33.11 | |
Aetna
| Professional | $9.50 | $9.50 | $9.50 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.02 | |
Cigna
| Professional | $28.35 | $28.35 | $28.35 |
Non-Rad Contrast Materialnoc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.79 | $12.53 | $33.11 | |
Aetna
| Professional | $9.50 | $9.50 | $9.50 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.02 | |
Cigna
| Professional | $28.35 | $28.35 | $28.35 |