| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $425.00 | $425.00 | $425.00 | |
Cigna
| Facility | $402.28 | $402.28 | $402.28 | |
Cigna
| Professional | $158.32 | $158.32 | $158.32 |
Magnetic Resonance Angiography Without Contrast Upper Extremity
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $425.00 | $425.00 | $425.00 | |
Cigna
| Facility | $402.28 | $402.28 | $402.28 | |
Cigna
| Professional | $158.32 | $158.32 | $158.32 |