| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $0.18 | $0.18 | $0.47 | |
Medica
| Facility | $0.25 | $0.31 | $0.44 | |
Medica
| Professional | $0.18 | $0.18 | $0.20 | |
United
| Professional | $0.18 | $0.18 | $0.20 |
High osmolar contrast material, 300-349 mg/ml iodine concentration, per ml
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $0.18 | $0.18 | $0.47 | |
Medica
| Facility | $0.25 | $0.31 | $0.44 | |
Medica
| Professional | $0.18 | $0.18 | $0.20 | |
United
| Professional | $0.18 | $0.18 | $0.20 |