| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $73.47 | $115.59 | $275.83 | |
Cigna
| Professional | $40.04 | $50.35 | $63.30 | |
Health Partners
| Facility | $62.67 | $104.83 | $217.20 | |
Health Partners
| Professional | $39.65 | $39.65 | $62.67 | |
Medica
| Facility | $15.37 | $51.36 | $120.30 |