| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.20 | $1.20 | $1.44 | |
Aetna
| Professional | $0.17 | $0.96 | $1.20 | |
Anthem BCBS
| Professional | $0.14 | $0.14 | $0.14 | |
United
| Professional | $0.56 | $0.56 | $0.56 |
Low osmolar contrast material, 400 or greater mg/ml iodine concentration, per ml
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.20 | $1.20 | $1.44 | |
Aetna
| Professional | $0.17 | $0.96 | $1.20 | |
Anthem BCBS
| Professional | $0.14 | $0.14 | $0.14 | |
United
| Professional | $0.56 | $0.56 | $0.56 |