| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $58.16 | $91.51 | $218.38 | |
Cigna
| Professional | $31.70 | $39.86 | $50.11 | |
Health Partners
| Facility | $49.61 | $82.99 | $171.95 | |
Health Partners
| Professional | $31.39 | $31.39 | $49.61 | |
Medica
| Facility | $13.79 | $40.63 | $173.00 |