| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $89.54 | $139.75 | $336.18 | |
Cigna
| Professional | $59.97 | $75.41 | $129.44 | |
Health Partners
| Facility | $71.86 | $123.21 | $264.70 | |
Health Partners
| Professional | $59.38 | $70.28 | $119.87 | |
Medica
| Facility | $54.09 | $72.95 | $98.00 | |
Medica
| Professional | $264.00 | $264.00 | $264.00 |