| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $404.22 | $404.22 | $404.22 | |
Cigna
| Professional | $28.35 | $28.35 | $28.35 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 |
Nonradioactive contrast imaging material, not otherwise classified, per study
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $404.22 | $404.22 | $404.22 | |
Cigna
| Professional | $28.35 | $28.35 | $28.35 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 |