| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $146.00 | $148.00 | $175.00 | |
Ambetter
| Facility | $78.14 | $166.00 | $303.42 | |
Cigna
| Facility | $238.00 | $238.00 | $238.00 | |
Medica
| Facility | $168.85 | $281.39 | $591.14 |
Radiology Diagnostic-General Classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $146.00 | $148.00 | $175.00 | |
Ambetter
| Facility | $78.14 | $166.00 | $303.42 | |
Cigna
| Facility | $238.00 | $238.00 | $238.00 | |
Medica
| Facility | $168.85 | $281.39 | $591.14 |