| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.69 | $21.47 | $82.32 | |
Cigna
| Professional | $28.35 | $28.35 | $28.35 | |
Well Sense
| Professional | $2,500.00 | $3,000.00 | $4,024.75 |
Nonradioactive contrast imaging material, not otherwise classified, per study
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.69 | $21.47 | $82.32 | |
Cigna
| Professional | $28.35 | $28.35 | $28.35 | |
Well Sense
| Professional | $2,500.00 | $3,000.00 | $4,024.75 |