| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $121.68 | $191.45 | $456.87 | |
Cigna
| Professional | $66.31 | $83.40 | $104.83 | |
Health Partners
| Facility | $103.80 | $173.63 | $359.74 | |
Health Partners
| Professional | $65.67 | $65.67 | $103.80 | |
Medica
| Facility | $28.70 | $84.58 | $199.32 |