| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.26 | $0.26 | $0.26 | |
Cigna
| Facility | $0.18 | $0.18 | $0.18 | |
Cigna
| Professional | $0.18 | $0.18 | $0.18 | |
United
| Professional | $0.18 | $0.18 | $0.22 |
High osmolar contrast material, 300-349 mg/ml iodine concentration, per ml
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.26 | $0.26 | $0.26 | |
Cigna
| Facility | $0.18 | $0.18 | $0.18 | |
Cigna
| Professional | $0.18 | $0.18 | $0.18 | |
United
| Professional | $0.18 | $0.18 | $0.22 |