| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $40.56 | $63.82 | $152.29 | |
Cigna
| Professional | $22.11 | $27.80 | $34.94 | |
Health Partners
| Facility | $34.60 | $57.88 | $119.91 | |
Health Partners
| Professional | $21.89 | $21.89 | $34.60 | |
Medica
| Facility | $9.52 | $28.04 | $100.00 |