| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $57.40 | $90.31 | $215.50 | |
Cigna
| Professional | $31.28 | $39.34 | $49.45 | |
Health Partners
| Facility | $48.96 | $81.90 | $169.69 | |
Health Partners
| Professional | $30.98 | $30.98 | $48.96 | |
Medica
| Facility | $13.61 | $40.11 | $100.00 |