| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $28.35 | $28.35 | $28.35 | |
Molina
| Professional | $50.00 | $55.00 | $85.00 | |
Quartz
| Professional | $28.35 | $28.35 | $28.35 |
Non-Rad Contrast Materialnoc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $28.35 | $28.35 | $28.35 | |
Molina
| Professional | $50.00 | $55.00 | $85.00 | |
Quartz
| Professional | $28.35 | $28.35 | $28.35 |