| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $29.88 | $151.09 | $181.02 | |
Cigna
| Professional | $23.77 | $29.89 | $39.67 | |
Health Partners
| Facility | $23.53 | $142.54 | $142.54 | |
Health Partners
| Professional | $23.53 | $27.46 | $36.00 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 | |
Medica
| Professional | $29.00 | $710.85 | $710.85 |