| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $181.97 | $263.03 | $630.96 | |
Cigna
| Professional | $107.15 | $134.90 | $208.93 | |
Health Partners
| Facility | $204.17 | $251.19 | $489.78 | |
Health Partners
| Professional | $107.15 | $107.15 | $165.96 | |
Medica
| Professional | $512.86 | $512.86 | $512.86 |