| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $102.55 | $161.35 | $385.03 | |
Cigna
| Professional | $55.90 | $70.28 | $88.35 | |
Health Partners
| Facility | $87.48 | $146.33 | $303.18 | |
Health Partners
| Professional | $55.34 | $55.34 | $87.48 | |
Medica
| Facility | $21.71 | $71.11 | $167.46 |