| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $35.20 | $55.39 | $132.18 | |
Cigna
| Professional | $19.19 | $24.13 | $30.33 | |
Health Partners
| Facility | $30.03 | $50.23 | $104.08 | |
Health Partners
| Professional | $19.00 | $19.00 | $30.03 | |
Medica
| Facility | $8.22 | $24.30 | $103.00 |