| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $50.12 | $87.10 | $208.93 | |
Cigna
| Professional | $28.84 | $36.31 | $47.86 | |
Health Partners
| Facility | $54.95 | $77.62 | $162.18 | |
Health Partners
| Professional | $28.18 | $28.18 | $47.86 | |
Medica
| Facility | $12.30 | $36.31 | $177.83 |