| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $50.51 | $79.47 | $189.64 | |
Cigna
| Professional | $27.53 | $34.61 | $43.52 | |
Health Partners
| Facility | $43.08 | $72.06 | $149.33 | |
Health Partners
| Professional | $27.26 | $27.26 | $43.08 | |
Medica
| Facility | $11.88 | $35.02 | $100.00 |