| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $891.25 | $1,122.02 | $1,621.81 | |
Health Partners
| Facility | $851.14 | $1,000.00 | $1,288.25 |
Level 4 Diagnostic Tests and Related Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $891.25 | $1,122.02 | $1,621.81 | |
Health Partners
| Facility | $851.14 | $1,000.00 | $1,288.25 |