| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $191.84 | $242.22 | $336.61 | |
Health Partners
| Facility | $172.93 | $213.87 | $274.22 |
RBC, l/r, cmv-neg, irrad
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $191.84 | $242.22 | $336.61 | |
Health Partners
| Facility | $172.93 | $213.87 | $274.22 |