| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $70.41 | $109.89 | $264.35 | |
Cigna
| Professional | $47.16 | $59.30 | $101.79 | |
Health Partners
| Facility | $56.51 | $96.89 | $208.15 | |
Health Partners
| Professional | $46.69 | $55.26 | $94.25 | |
Medica
| Facility | $35.83 | $50.38 | $76.02 | |
Medica
| Professional | $175.00 | $175.00 | $175.00 |