| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $70.70 | $98.15 | $201.45 | |
Cigna
| Professional | $31.82 | $34.65 | $40.01 | |
Health Partners
| Facility | $79.00 | $82.57 | $167.08 | |
Health Partners
| Professional | $31.50 | $31.50 | $31.50 |