| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $187.82 | $266.36 | $640.76 | |
Cigna
| Professional | $137.03 | $206.04 | $321.33 | |
Health Partners
| Facility | $147.88 | $243.52 | $504.54 | |
Health Partners
| Professional | $126.31 | $177.82 | $259.88 | |
Medica
| Facility | $180.39 | $180.39 | $180.39 |