| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $52.73 | $75.38 | $179.87 | |
Cigna
| Professional | $23.71 | $27.54 | $29.81 | |
Health Partners
| Facility | $41.52 | $68.36 | $141.63 | |
Health Partners
| Professional | $23.48 | $23.48 | $25.04 | |
Medica
| Facility | $20.82 | $20.82 | $90.00 | |
Medica
| Professional | $73.23 | $73.23 | $73.23 |