| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $164.24 | $232.91 | $560.30 | |
Cigna
| Professional | $132.56 | $212.98 | $285.00 | |
Health Partners
| Facility | $133.52 | $212.94 | $441.19 | |
Health Partners
| Professional | $110.78 | $175.11 | $253.50 |