| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,192.50 | $1,192.50 | $1,192.50 | |
Ambetter
| Facility | $264.01 | $346.63 | $1,009.21 | |
Cigna
| Facility | $1,192.50 | $1,192.50 | $1,192.50 |
Other Diagnostic Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,192.50 | $1,192.50 | $1,192.50 | |
Ambetter
| Facility | $264.01 | $346.63 | $1,009.21 | |
Cigna
| Facility | $1,192.50 | $1,192.50 | $1,192.50 |