| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $51.29 | $89.13 | $208.93 | |
Cigna
| Professional | $29.51 | $36.31 | $48.98 | |
Health Partners
| Facility | $54.95 | $79.43 | $165.96 | |
Health Partners
| Professional | $28.84 | $28.84 | $47.86 | |
Medica
| Facility | $12.59 | $37.15 | $100.00 |