| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $62.75 | $98.74 | $235.62 | |
Cigna
| Professional | $34.20 | $43.01 | $54.06 | |
Health Partners
| Facility | $53.53 | $89.54 | $185.53 | |
Health Partners
| Professional | $33.86 | $33.86 | $53.53 | |
Medica
| Facility | $14.77 | $43.51 | $150.00 |