| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $251.19 | $251.19 | $251.19 | |
Ambetter
| Facility | $117.49 | $177.83 | $331.13 | |
Cigna
| Facility | $302.00 | $302.00 | $302.00 |
Radiology Diagnostic-General Classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $251.19 | $251.19 | $251.19 | |
Ambetter
| Facility | $117.49 | $177.83 | $331.13 | |
Cigna
| Facility | $302.00 | $302.00 | $302.00 |