| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $208.23 | $310.37 | $361.23 | |
Cigna
| Professional | $113.63 | $135.30 | $142.88 | |
Health Partners
| Facility | $179.61 | $282.14 | $410.40 | |
Health Partners
| Professional | $112.50 | $112.50 | $157.50 | |
Medica
| Facility | $100.72 | $106.11 | $140.27 |