| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.33 | $0.33 | $0.33 | |
Cigna
| Professional | $0.28 | $0.28 | $0.30 | |
MVP Health Care
| Professional | $0.28 | $0.28 | $0.30 | |
United
| Professional | $0.39 | $0.39 | $0.90 |
High osmolar contrast material, 400 or greater mg/ml iodine concentration, per ml
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.33 | $0.33 | $0.33 | |
Cigna
| Professional | $0.28 | $0.28 | $0.30 | |
MVP Health Care
| Professional | $0.28 | $0.28 | $0.30 | |
United
| Professional | $0.39 | $0.39 | $0.90 |