| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $120.38 | $170.80 | $410.89 | |
Cigna
| Professional | $54.16 | $58.99 | $68.09 | |
Health Partners
| Facility | $97.91 | $155.87 | $323.54 | |
Health Partners
| Professional | $53.63 | $53.63 | $53.63 | |
Medica
| Facility | $105.12 | $105.12 | $105.12 | |
Medica
| Professional | $251.34 | $251.34 | $251.34 |