| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $33.67 | $52.98 | $126.43 | |
Cigna
| Professional | $18.35 | $23.08 | $29.01 | |
Health Partners
| Facility | $28.72 | $48.05 | $99.55 | |
Health Partners
| Professional | $18.17 | $18.17 | $28.72 | |
Medica
| Facility | $7.87 | $23.21 | $211.44 |