| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $129.71 | $183.94 | $442.50 | |
Cigna
| Professional | $94.63 | $142.28 | $221.91 | |
Health Partners
| Facility | $102.13 | $168.17 | $348.43 | |
Health Partners
| Professional | $87.23 | $122.80 | $179.47 | |
Medica
| Facility | $123.10 | $123.10 | $123.10 |