| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $22.96 | $36.11 | $86.20 | |
Cigna
| Professional | $12.51 | $15.74 | $19.78 | |
Health Partners
| Facility | $19.57 | $32.76 | $67.88 | |
Health Partners
| Professional | $12.39 | $12.39 | $19.57 | |
Medica
| Facility | $4.51 | $16.04 | $90.00 |