| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $29.08 | $45.76 | $109.19 | |
Cigna
| Professional | $15.85 | $19.93 | $25.05 | |
Health Partners
| Facility | $24.81 | $41.50 | $85.98 | |
Health Partners
| Professional | $15.69 | $15.69 | $24.81 | |
Medica
| Facility | $6.77 | $19.95 | $100.00 |