| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $33.32 | $57.33 | $69.80 | |
Cigna
| Professional | $18.18 | $21.65 | $22.86 | |
Health Partners
| Facility | $28.74 | $52.32 | $65.66 | |
Health Partners
| Professional | $18.00 | $18.00 | $25.20 |