| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $19.89 | $31.31 | $74.70 | |
Cigna
| Professional | $10.85 | $13.64 | $17.14 | |
Health Partners
| Facility | $16.97 | $28.39 | $58.83 | |
Health Partners
| Professional | $10.74 | $10.74 | $16.97 | |
Medica
| Facility | $4.72 | $13.93 | $100.00 |