| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $48.98 | $69.18 | $165.96 | |
Cigna
| Professional | $20.89 | $23.99 | $26.30 | |
Health Partners
| Facility | $53.70 | $66.07 | $128.82 | |
Health Partners
| Professional | $20.42 | $20.42 | $28.18 | |
Medica
| Facility | $89.13 | $89.13 | $89.13 |