| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $75.00 | $118.00 | $281.58 | |
Cigna
| Professional | $40.88 | $51.40 | $64.61 | |
Health Partners
| Facility | $63.97 | $107.02 | $221.73 | |
Health Partners
| Professional | $40.47 | $40.47 | $63.97 | |
Medica
| Facility | $17.67 | $52.07 | $122.67 |