| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.14 | $0.15 | $0.15 | |
Cigna
| Professional | $0.28 | $0.28 | $0.28 | |
MVP Health Care
| Professional | $0.28 | $0.28 | $0.28 | |
United
| Professional | $0.17 | $0.19 | $0.42 |
High osmolar contrast material, 200-249 mg/ml iodine concentration, per ml
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.14 | $0.15 | $0.15 | |
Cigna
| Professional | $0.28 | $0.28 | $0.28 | |
MVP Health Care
| Professional | $0.28 | $0.28 | $0.28 | |
United
| Professional | $0.17 | $0.19 | $0.42 |