| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.96 | $1.20 | $1.20 | |
MVP Health Care
| Professional | $0.03 | $0.03 | $22.80 | |
United
| Professional | $0.56 | $0.56 | $1.29 |
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
| Professional | $0.96 | $1.20 | $1.20 | |
MVP Health Care
| Professional | $0.03 | $0.03 | $22.80 | |
United
| Professional | $0.56 | $0.56 | $1.29 |