| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $395.32 | $499.12 | $693.63 | |
Health Partners
| Facility | $356.34 | $440.69 | $565.07 |
Plt, pher, l/r cmv-neg, irr
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $395.32 | $499.12 | $693.63 | |
Health Partners
| Facility | $356.34 | $440.69 | $565.07 |