| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $47.98 | $66.59 | $136.69 | |
Cigna
| Professional | $31.43 | $42.54 | $74.84 | |
Health Partners
| Facility | $53.61 | $56.03 | $113.38 | |
Health Partners
| Professional | $29.45 | $38.90 | $67.59 | |
Medica
| Professional | $95.38 | $140.99 | $140.99 |