| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $63.14 | $87.63 | $179.87 | |
Cigna
| Professional | $43.52 | $56.11 | $100.15 | |
Health Partners
| Facility | $70.54 | $73.73 | $149.18 | |
Health Partners
| Professional | $40.78 | $52.34 | $93.60 | |
Medica
| Professional | $128.10 | $245.65 | $245.65 |