| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $874.00 | $874.00 | $874.00 | |
Oscar Health
| Facility | $10.43 | $565.60 | $732.18 | |
Priority Health
| Facility | $874.00 | $874.00 | $874.00 |
Other Imaging Services-Other Imaging Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $874.00 | $874.00 | $874.00 | |
Oscar Health
| Facility | $10.43 | $565.60 | $732.18 | |
Priority Health
| Facility | $874.00 | $874.00 | $874.00 |