| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $489.78 | $602.56 | $870.96 | |
Health Partners
| Facility | $467.74 | $549.54 | $691.83 |
Level 4 Imaging without Contrast
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $489.78 | $602.56 | $870.96 | |
Health Partners
| Facility | $467.74 | $549.54 | $691.83 |