| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $45.92 | $72.25 | $172.40 | |
Cigna
| Professional | $25.03 | $31.47 | $39.56 | |
Health Partners
| Facility | $39.17 | $65.52 | $135.75 | |
Health Partners
| Professional | $24.78 | $24.78 | $39.17 | |
Medica
| Facility | $10.89 | $32.09 | $100.00 |