| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.70 | $54.40 | $112.14 | |
Cigna
| Professional | $28.28 | $28.35 | $28.35 | |
Molina
| Professional | $17.00 | $17.00 | $20.00 |
Non-Rad Contrast Materialnoc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.70 | $54.40 | $112.14 | |
Cigna
| Professional | $28.28 | $28.35 | $28.35 | |
Molina
| Professional | $17.00 | $17.00 | $20.00 |