| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $128.57 | $184.00 | $402.91 | |
Cigna
| Professional | $73.37 | $127.70 | $218.59 | |
Health Partners
| Facility | $111.42 | $165.14 | $380.10 | |
Health Partners
| Professional | $66.66 | $112.20 | $187.24 | |
Medica
| Facility | $139.38 | $139.38 | $139.38 | |
Medica
| Professional | $112.00 | $220.70 | $350.87 | |
Medica
| Professional | 25 | $128.59 | $128.59 | $132.30 |