| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $62.33 | $88.39 | $212.63 | |
Cigna
| Professional | $28.03 | $32.56 | $35.24 | |
Health Partners
| Facility | $50.67 | $80.81 | $167.43 | |
Health Partners
| Professional | $27.75 | $27.75 | $37.74 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 |