| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.24 | $0.24 | $0.35 | |
Cigna
| Professional | $0.24 | $0.24 | $0.24 | |
United
| Professional | $0.24 | $0.24 | $0.36 |
High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.24 | $0.24 | $0.35 | |
Cigna
| Professional | $0.24 | $0.24 | $0.24 | |
United
| Professional | $0.24 | $0.24 | $0.36 |