| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.41 | $1.41 | $1.41 | |
Cigna
| Facility | $0.28 | $85.11 | $85.11 | |
Cigna
| Professional | $0.28 | $0.28 | $0.28 | |
United
| Professional | $0.38 | $0.39 | $0.39 |
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 | $1.41 | $1.41 | $1.41 | |
Cigna
| Facility | $0.28 | $85.11 | $85.11 | |
Cigna
| Professional | $0.28 | $0.28 | $0.28 | |
United
| Professional | $0.38 | $0.39 | $0.39 |