| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $146.00 | $148.00 | $175.00 | |
Ambetter
| Facility | $35.81 | $35.81 | $35.81 | |
Cigna
| Facility | $238.00 | $238.00 | $238.00 |
Radiology Diagnostic-Other Radiology-Diagnostic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $146.00 | $148.00 | $175.00 | |
Ambetter
| Facility | $35.81 | $35.81 | $35.81 | |
Cigna
| Facility | $238.00 | $238.00 | $238.00 |