| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $26.96 | $48.12 | $1,784.23 | |
Cigna
| Facility | $1,500.00 | $1,500.00 | $2,139.00 |
Radiology-Diagnostic Other
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $26.96 | $48.12 | $1,784.23 | |
Cigna
| Facility | $1,500.00 | $1,500.00 | $2,139.00 |