| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $145.63 | $202.14 | $414.90 | |
Cigna
| Professional | $39.29 | $95.00 | $201.05 | |
Health Partners
| Facility | $162.71 | $170.06 | $344.11 | |
Health Partners
| Professional | $38.90 | $87.26 | $182.77 | |
Medica
| Professional | $116.87 | $304.19 | $304.19 |