| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $79.13 | $109.83 | $225.44 | |
Cigna
| Professional | $35.60 | $38.78 | $44.77 | |
Health Partners
| Facility | $88.41 | $92.40 | $186.98 | |
Health Partners
| Professional | $35.25 | $35.25 | $35.25 |