| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $148.00 | $148.00 | $217.35 | |
BCBS
| Facility | $63.00 | $289.00 | $405.00 | |
Cigna
| Facility | $1,001.00 | $1,024.50 | $2,034.50 |
Other Imaging Services - Other Imaging Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $148.00 | $148.00 | $217.35 | |
BCBS
| Facility | $63.00 | $289.00 | $405.00 | |
Cigna
| Facility | $1,001.00 | $1,024.50 | $2,034.50 |
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