| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $56.63 | $89.10 | $212.63 | |
Cigna
| Professional | $30.87 | $38.81 | $48.79 | |
Health Partners
| Facility | $48.31 | $80.81 | $167.43 | |
Health Partners
| Professional | $30.56 | $30.56 | $48.31 | |
Medica
| Facility | $12.03 | $39.43 | $158.10 |