| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $56.23 | $97.72 | $229.09 | |
Cigna
| Professional | $32.36 | $40.74 | $53.70 | |
Health Partners
| Facility | $60.26 | $87.10 | $181.97 | |
Health Partners
| Professional | $31.62 | $31.62 | $52.48 | |
Medica
| Facility | $13.80 | $40.74 | $138.04 |