| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $90.92 | $129.00 | $310.32 | |
Cigna
| Professional | $67.56 | $105.17 | $155.62 | |
Health Partners
| Facility | $71.63 | $117.94 | $244.35 | |
Health Partners
| Professional | $61.17 | $91.14 | $138.31 | |
Medica
| Professional | $183.93 | $183.93 | $183.93 |