| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $74.13 | $100.00 | $234.42 | |
Cigna
| Professional | $35.48 | $38.02 | $44.67 | |
Health Partners
| Facility | $74.13 | $95.50 | $223.87 | |
Health Partners
| Professional | $35.48 | $35.48 | $35.48 |