| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $162.47 | $462.86 | $554.55 | |
Cigna
| Professional | $73.09 | $77.44 | $91.92 | |
Health Partners
| Facility | $147.69 | $436.66 | $436.66 | |
Health Partners
| Professional | $72.38 | $72.38 | $72.38 |