| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $73.47 | $114.67 | $275.83 | |
Cigna
| Professional | $49.21 | $61.87 | $106.22 | |
Health Partners
| Facility | $58.96 | $101.10 | $217.20 | |
Health Partners
| Professional | $48.72 | $57.67 | $98.35 | |
Medica
| Facility | $47.36 | $62.56 | $83.49 | |
Medica
| Professional | $236.59 | $236.59 | $236.59 |