| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $479.00 | $479.00 | $2,117.00 | |
Medica
| Facility | $88.09 | $253.28 | $765.99 |
Other Diagnostic Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $479.00 | $479.00 | $2,117.00 | |
Medica
| Facility | $88.09 | $253.28 | $765.99 |