| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $33.88 | $57.54 | $138.04 | |
Cigna
| Professional | $19.05 | $23.99 | $32.36 | |
Health Partners
| Facility | $36.31 | $51.29 | $109.65 | |
Health Partners
| Professional | $19.05 | $19.05 | $31.62 | |
Medica
| Facility | $8.32 | $24.55 | $89.13 |