| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $35.97 | $56.59 | $135.05 | |
Cigna
| Professional | $19.61 | $24.65 | $30.99 | |
Health Partners
| Facility | $30.68 | $51.32 | $106.34 | |
Health Partners
| Professional | $19.41 | $19.41 | $30.68 | |
Medica
| Facility | $8.52 | $25.10 | $100.00 |