| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $147.91 | $147.91 | $147.91 | |
Cigna
| Facility | $1,202.26 | $2,187.76 | $3,467.37 |
Radiology Diagnostic-Other Radiology-Diagnostic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $147.91 | $147.91 | $147.91 | |
Cigna
| Facility | $1,202.26 | $2,187.76 | $3,467.37 |