| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.56 | $0.56 | $0.56 | |
Aetna
| Professional | $0.22 | $0.22 | $0.27 | |
Cigna
| Professional | $0.22 | $0.22 | $0.22 | |
United
| Professional | $0.22 | $0.22 | $0.56 |
High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.56 | $0.56 | $0.56 | |
Aetna
| Professional | $0.22 | $0.22 | $0.27 | |
Cigna
| Professional | $0.22 | $0.22 | $0.22 | |
United
| Professional | $0.22 | $0.22 | $0.56 |