| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $83.29 | $124.15 | $144.49 | |
Cigna
| Professional | $45.45 | $54.12 | $57.15 | |
Health Partners
| Facility | $71.84 | $112.86 | $164.16 | |
Health Partners
| Professional | $45.00 | $45.00 | $63.00 | |
Medica
| Facility | $16.28 | $40.86 | $42.77 |