| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $169.13 | $266.10 | $635.02 | |
Cigna
| Professional | $92.19 | $115.92 | $145.71 | |
Health Partners
| Facility | $144.27 | $241.33 | $500.01 | |
Health Partners
| Professional | $91.27 | $91.27 | $144.27 | |
Medica
| Facility | $41.64 | $117.80 | $268.30 |