| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $131.83 | $213.80 | $245.47 | |
Cigna
| Professional | $74.13 | $85.11 | $93.33 | |
Health Partners
| Facility | $186.21 | $194.98 | $275.42 | |
Health Partners
| Professional | $74.13 | $74.13 | $100.00 |