| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $75.80 | $107.50 | $258.60 | |
Cigna
| Professional | $49.23 | $81.38 | $130.22 | |
Health Partners
| Facility | $61.62 | $98.28 | $203.63 | |
Health Partners
| Professional | $44.33 | $71.77 | $121.71 | |
Medica
| Professional | $153.00 | $227.67 | $227.67 |