| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $44.39 | $69.84 | $166.66 | |
Cigna
| Professional | $24.19 | $30.42 | $38.24 | |
Health Partners
| Facility | $37.86 | $63.34 | $131.22 | |
Health Partners
| Professional | $23.95 | $23.95 | $37.86 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 |