| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $737.00 | $1,008.00 | $1,300.00 | |
BCBS
| Facility | $261.51 | $378.38 | $433.00 | |
Cigna
| Facility | $800.00 | $800.00 | $800.00 |
Other Diagnostic Services - Other Diagnostic Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $737.00 | $1,008.00 | $1,300.00 | |
BCBS
| Facility | $261.51 | $378.38 | $433.00 | |
Cigna
| Facility | $800.00 | $800.00 | $800.00 |
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