| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $208.08 | $265.54 | $457.35 | |
Health Partners
| Facility | $203.85 | $241.02 | $644.60 |
Level 3 Imaging without Contrast
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $208.08 | $265.54 | $457.35 | |
Health Partners
| Facility | $203.85 | $241.02 | $644.60 |