| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $235.71 | $327.16 | $671.51 | |
Cigna
| Professional | $106.05 | $115.50 | $133.35 | |
Health Partners
| Facility | $263.33 | $275.24 | $556.95 | |
Health Partners
| Professional | $105.00 | $105.00 | $105.00 |