| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $741.31 | $741.31 | $741.31 | |
BCBS
| Facility | $83.18 | $1,949.84 | $3,388.44 |
Other Diagnostic Services - Other Diagnostic Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $741.31 | $741.31 | $741.31 | |
BCBS
| Facility | $83.18 | $1,949.84 | $3,388.44 |
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