| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $208.77 | $594.77 | $712.60 | |
Cigna
| Professional | $93.93 | $99.51 | $118.11 | |
Health Partners
| Facility | $189.79 | $561.10 | $561.10 | |
Health Partners
| Professional | $93.00 | $93.00 | $93.00 |