| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,202.26 | $3,019.95 | $3,090.30 | |
BCBS
| Facility | $338.84 | $691.83 | $1,148.15 | |
Cigna
| Facility | $758.58 | $1,202.26 | $1,202.26 |
Other Diagnostic Services-General Classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,202.26 | $3,019.95 | $3,090.30 | |
BCBS
| Facility | $338.84 | $691.83 | $1,148.15 | |
Cigna
| Facility | $758.58 | $1,202.26 | $1,202.26 |
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