| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $97.59 | $97.59 | $97.59 | |
Cigna
| Facility | $206.00 | $407.00 | $1,192.00 |
CT Scan - Other CT Scans
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $97.59 | $97.59 | $97.59 | |
Cigna
| Facility | $206.00 | $407.00 | $1,192.00 |