| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $60.46 | $94.36 | $227.00 | |
Cigna
| Professional | $40.49 | $50.92 | $87.41 | |
Health Partners
| Facility | $48.52 | $83.19 | $178.74 | |
Health Partners
| Professional | $40.09 | $47.46 | $80.94 | |
Medica
| Facility | $39.18 | $51.30 | $65.95 | |
Medica
| Professional | $582.00 | $582.00 | $582.00 |