| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $168.37 | $238.89 | $574.67 | |
Cigna
| Professional | $125.12 | $194.77 | $288.19 | |
Health Partners
| Facility | $132.63 | $218.40 | $452.50 | |
Health Partners
| Professional | $113.28 | $168.78 | $256.13 | |
Medica
| Professional | $335.79 | $335.79 | $335.79 |