| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $122.91 | $170.59 | $350.14 | |
Cigna
| Professional | $55.30 | $60.23 | $69.53 | |
Health Partners
| Facility | $137.31 | $143.52 | $290.41 | |
Health Partners
| Professional | $54.75 | $54.75 | $54.75 |