| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $61.49 | $87.90 | $209.76 | |
Cigna
| Professional | $47.11 | $77.52 | $106.25 | |
Health Partners
| Facility | $49.98 | $79.72 | $165.16 | |
Health Partners
| Professional | $41.47 | $65.04 | $94.90 | |
Medica
| Facility | $61.78 | $63.99 | $67.37 | |
Medica
| Professional | $258.29 | $258.29 | $258.29 |