| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $114.82 | $165.96 | $389.05 | |
Cigna
| Professional | $33.11 | $48.98 | $63.10 | |
Health Partners
| Facility | $125.89 | $151.36 | $309.03 | |
Health Partners
| Professional | $32.36 | $44.67 | $48.98 |