| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $45.15 | $71.04 | $169.53 | |
Cigna
| Professional | $24.61 | $30.95 | $38.90 | |
Health Partners
| Facility | $38.52 | $64.43 | $133.49 | |
Health Partners
| Professional | $24.37 | $24.37 | $38.52 | |
Medica
| Facility | $10.65 | $31.41 | $90.00 |