| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.28 | $20.85 | $96.38 | |
Cigna
| Professional | $28.35 | $28.35 | $28.35 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
Non-Rad Contrast Materialnoc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.28 | $20.85 | $96.38 | |
Cigna
| Professional | $28.35 | $28.35 | $28.35 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |