| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $42.66 | $74.13 | $177.83 | |
Cigna
| Professional | $24.55 | $30.90 | $40.74 | |
Health Partners
| Facility | $46.77 | $66.07 | $138.04 | |
Health Partners
| Professional | $24.55 | $24.55 | $40.74 | |
Medica
| Facility | $10.72 | $31.62 | $100.00 |