| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $213.80 | $616.60 | $741.31 | |
Cigna
| Professional | $93.33 | $100.00 | $117.49 | |
Health Partners
| Facility | $194.98 | $588.84 | $588.84 | |
Health Partners
| Professional | $93.33 | $93.33 | $173.78 |