| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.20 | $75.98 | $78.78 | |
Cigna
| Professional | $63.51 | $63.51 | $63.51 | |
United
| Professional | $112.86 | $186.99 | $478.17 |
Transportation Of Portable X-Ray Equipment And Personnel To Home Or Nursing Home Per Trip To Facility Or Location One Patient Seen (Special Coverage Instructions Apply. See Mcm: 2070.4 5244.B)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.20 | $75.98 | $78.78 | |
Cigna
| Professional | $63.51 | $63.51 | $63.51 | |
United
| Professional | $112.86 | $186.99 | $478.17 |