| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $132.10 | $132.10 | $166.10 | |
Health Partners
| Professional | $28.59 | $42.25 | $78.33 | |
Medica
| Facility | $90.00 | $90.00 | $630.00 | |
Medica
| Professional | $204.00 | $258.39 | $258.39 |