| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $19.50 | $33.88 | $81.28 | |
Cigna
| Professional | $11.22 | $14.13 | $19.05 | |
Health Partners
| Facility | $21.38 | $30.20 | $64.57 | |
Health Partners
| Professional | $11.22 | $11.22 | $18.62 | |
Medica
| Facility | $4.90 | $14.45 | $89.13 |