| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $346.74 | $346.74 | $478.63 | |
Quartz
| Facility | $346.74 | $346.74 | $346.74 |
Radiology Diagnostic-Other Radiology-Diagnostic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $346.74 | $346.74 | $478.63 | |
Quartz
| Facility | $346.74 | $346.74 | $346.74 |