| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $30.20 | $158.49 | $190.55 | |
Cigna
| Professional | $23.99 | $30.20 | $39.81 | |
Health Partners
| Facility | $23.44 | $147.91 | $147.91 | |
Health Partners
| Professional | $23.44 | $27.54 | $40.74 | |
Medica
| Facility | $89.13 | $89.13 | $89.13 | |
Medica
| Professional | $28.84 | $707.95 | $707.95 |