| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $79.43 | $134.90 | $208.93 | |
Cigna
| Facility | $1,513.56 | $1,513.56 | $2,137.96 |
Radiology Diagnostic-General Classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $79.43 | $134.90 | $208.93 | |
Cigna
| Facility | $1,513.56 | $1,513.56 | $2,137.96 |