| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $58.88 | $79.43 | $186.21 | |
Cigna
| Professional | $42.66 | $57.54 | $100.00 | |
Health Partners
| Facility | $58.88 | $75.86 | $177.83 | |
Health Partners
| Professional | $40.74 | $61.66 | $93.33 | |
Medica
| Professional | $128.82 | $245.47 | $245.47 |