| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.09 | $0.09 | $0.09 | |
Providence
| Facility | $0.09 | $0.09 | $0.10 | |
Providence
| Professional | $1,800,000.00 | $2,250,000.00 | $2,400,000.00 |
High osmolar contrast material, 150-199 mg/ml iodine concentration, per ml
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.09 | $0.09 | $0.09 | |
Providence
| Facility | $0.09 | $0.09 | $0.10 | |
Providence
| Professional | $1,800,000.00 | $2,250,000.00 | $2,400,000.00 |