| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $190.25 | $264.07 | $542.00 | |
Cigna
| Professional | $39.90 | $113.77 | $270.06 | |
Health Partners
| Facility | $212.55 | $222.16 | $449.54 | |
Health Partners
| Professional | $39.50 | $105.23 | $238.77 | |
Medica
| Professional | $119.81 | $364.11 | $364.11 |