| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $59.69 | $93.92 | $224.12 | |
Cigna
| Professional | $32.54 | $40.90 | $51.43 | |
Health Partners
| Facility | $50.92 | $85.18 | $176.48 | |
Health Partners
| Professional | $32.21 | $32.21 | $50.92 | |
Medica
| Facility | $14.10 | $41.97 | $100.00 |