| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $42.86 | $67.43 | $160.91 | |
Cigna
| Professional | $23.36 | $29.37 | $36.92 | |
Health Partners
| Facility | $36.56 | $61.15 | $126.70 | |
Health Partners
| Professional | $23.13 | $23.13 | $36.56 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 |