| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $300.00 | $300.00 | $300.00 | |
United
| Facility | $200.00 | $200.00 | $200.00 |
Radiology-Diagnostic Other
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $300.00 | $300.00 | $300.00 | |
United
| Facility | $200.00 | $200.00 | $200.00 |