| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $133.85 | $189.92 | $456.87 | |
Cigna
| Professional | $60.22 | $65.59 | $75.72 | |
Health Partners
| Facility | $105.45 | $167.44 | $359.74 | |
Health Partners
| Professional | $59.63 | $59.63 | $59.63 |