| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $92.06 | $159.32 | $369.33 | |
Cigna
| Professional | $52.27 | $64.69 | $67.76 | |
Health Partners
| Facility | $89.98 | $146.01 | $348.43 | |
Health Partners
| Professional | $51.75 | $51.75 | $61.60 | |
Medica
| Facility | $80.00 | $80.00 | $80.00 |