| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $76.61 | $218.24 | $261.48 | |
Cigna
| Professional | $34.47 | $36.17 | $43.34 | |
Health Partners
| Facility | $69.64 | $205.89 | $205.89 | |
Health Partners
| Professional | $34.13 | $34.13 | $34.13 | |
Medica
| Facility | $137.13 | $137.13 | $137.13 | |
Medica
| Professional | $199.62 | $199.62 | $199.62 |