| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $28.35 | $28.35 | $28.35 | |
Hally Health
| Professional | $150.00 | $150.00 | $150.00 |
Nonradioactive contrast imaging material, not otherwise classified, per study
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $28.35 | $28.35 | $28.35 | |
Hally Health
| Professional | $150.00 | $150.00 | $150.00 |