| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $65.66 | $93.17 | $224.12 | |
Cigna
| Professional | $39.97 | $50.27 | $86.30 | |
Health Partners
| Facility | $51.73 | $82.14 | $176.48 | |
Health Partners
| Professional | $39.59 | $46.85 | $79.91 | |
Medica
| Facility | $28.83 | $44.47 | $60.70 | |
Medica
| Professional | $128.36 | $128.36 | $128.36 |