| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $48.98 | $77.06 | $183.90 | |
Cigna
| Professional | $26.70 | $33.57 | $42.20 | |
Health Partners
| Facility | $41.78 | $69.89 | $144.80 | |
Health Partners
| Professional | $26.43 | $26.43 | $41.78 | |
Medica
| Facility | $11.54 | $34.00 | $160.00 |