| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $52.81 | $83.08 | $198.26 | |
Cigna
| Professional | $28.78 | $36.19 | $45.49 | |
Health Partners
| Facility | $45.04 | $75.34 | $156.11 | |
Health Partners
| Professional | $28.50 | $28.50 | $45.04 | |
Medica
| Facility | $12.41 | $36.58 | $90.00 |