| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $24.55 | $42.66 | $102.33 | |
Cigna
| Professional | $14.13 | $17.78 | $23.99 | |
Health Partners
| Facility | $26.92 | $38.02 | $81.28 | |
Health Partners
| Professional | $14.13 | $14.13 | $23.44 | |
Medica
| Facility | $5.50 | $18.20 | $100.00 |