| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $48.98 | $64.57 | $154.88 | |
Cigna
| Professional | $34.67 | $46.77 | $81.28 | |
Health Partners
| Facility | $48.98 | $63.10 | $147.91 | |
Health Partners
| Professional | $33.11 | $48.98 | $75.86 | |
Medica
| Professional | $107.15 | $2,951.21 | $2,951.21 |