| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $875.79 | $1,105.76 | $1,536.70 | |
Health Partners
| Facility | $789.44 | $976.33 | $1,251.86 |
Level 4 Diagnostic Tests and Related Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $875.79 | $1,105.76 | $1,536.70 | |
Health Partners
| Facility | $789.44 | $976.33 | $1,251.86 |