| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $60.46 | $95.12 | $227.00 | |
Cigna
| Professional | $32.95 | $41.44 | $52.09 | |
Health Partners
| Facility | $51.57 | $86.27 | $178.74 | |
Health Partners
| Professional | $32.63 | $32.63 | $51.57 | |
Medica
| Facility | $14.20 | $41.83 | $100.00 |