| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $638.40 | $638.40 | $638.40 | |
Cigna
| Facility | $1,200.00 | $1,792.00 | $3,274.32 |
Radiology-Diagnostic Other
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $638.40 | $638.40 | $638.40 | |
Cigna
| Facility | $1,200.00 | $1,792.00 | $3,274.32 |