| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $66.07 | $112.20 | $269.15 | |
Cigna
| Professional | $37.15 | $46.77 | $63.10 | |
Health Partners
| Facility | $70.79 | $102.33 | $213.80 | |
Health Partners
| Professional | $37.15 | $37.15 | $61.66 | |
Medica
| Facility | $16.22 | $47.86 | $112.20 |