| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $68.88 | $108.37 | $258.60 | |
Cigna
| Professional | $37.54 | $47.21 | $59.34 | |
Health Partners
| Facility | $58.75 | $98.28 | $203.63 | |
Health Partners
| Professional | $37.17 | $37.17 | $58.75 | |
Medica
| Facility | $16.28 | $47.98 | $113.22 |