| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $224.25 | $705.00 | $1,443.00 | |
Aetna
| Professional | $250.00 | $318.75 | $318.75 | |
Cigna
| Facility | $111.94 | $233.47 | $434.20 | |
Cigna
| Professional | $344.35 | $344.35 | $344.35 |
Magnetic Resonance Angiography Without Contrast Chest (Excluding Myocardium) (Special Coverage Instructions Apply)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $224.25 | $705.00 | $1,443.00 | |
Aetna
| Professional | $250.00 | $318.75 | $318.75 | |
Cigna
| Facility | $111.94 | $233.47 | $434.20 | |
Cigna
| Professional | $344.35 | $344.35 | $344.35 |