| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $562.76 | $710.52 | $987.43 | |
Health Partners
| Facility | $507.27 | $627.36 | $804.41 |
RBC deglycerolized
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $562.76 | $710.52 | $987.43 | |
Health Partners
| Facility | $507.27 | $627.36 | $804.41 |