| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $35.97 | $56.59 | $135.05 | |
Cigna
| Professional | $17.52 | $22.03 | $29.55 | |
Health Partners
| Facility | $30.68 | $51.32 | $106.34 | |
Health Partners
| Professional | $17.35 | $17.35 | $27.42 | |
Medica
| Facility | $27.96 | $90.00 | $90.00 |