| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $52.04 | $81.88 | $195.39 | |
Cigna
| Professional | $28.36 | $35.67 | $44.83 | |
Health Partners
| Facility | $44.39 | $74.26 | $153.85 | |
Health Partners
| Professional | $28.08 | $28.08 | $44.39 | |
Medica
| Facility | $12.31 | $36.26 | $90.00 |