| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,300.00 | $1,300.00 | $1,300.00 | |
BCBS
| Facility | $38.42 | $221.62 | $1,196.38 |
Other Diagnostic Services - Other Diagnostic Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,300.00 | $1,300.00 | $1,300.00 | |
BCBS
| Facility | $38.42 | $221.62 | $1,196.38 |