| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $42.66 | $72.44 | $173.78 | |
Cigna
| Professional | $23.99 | $30.20 | $40.74 | |
Health Partners
| Facility | $45.71 | $64.57 | $138.04 | |
Health Partners
| Professional | $23.99 | $23.99 | $39.81 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 |