| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $51.28 | $80.67 | $192.52 | |
Cigna
| Professional | $27.95 | $35.14 | $44.18 | |
Health Partners
| Facility | $43.74 | $73.16 | $151.59 | |
Health Partners
| Professional | $27.67 | $27.67 | $43.74 | |
Medica
| Facility | $12.12 | $35.71 | $100.00 |