| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $53.57 | $84.29 | $201.14 | |
Cigna
| Professional | $29.20 | $36.72 | $46.15 | |
Health Partners
| Facility | $45.70 | $76.44 | $158.38 | |
Health Partners
| Professional | $28.91 | $28.91 | $45.70 | |
Medica
| Facility | $12.72 | $37.47 | $174.12 |