| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $33.69 | $49.15 | $114.94 | |
Cigna
| Professional | $15.15 | $17.60 | $19.05 | |
Health Partners
| Facility | $26.53 | $45.60 | $90.50 | |
Health Partners
| Professional | $15.00 | $15.00 | $20.39 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 |