| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $57.19 | $81.76 | $195.10 | |
Cigna
| Professional | $25.72 | $29.88 | $32.34 | |
Health Partners
| Facility | $45.03 | $74.15 | $153.62 | |
Health Partners
| Professional | $25.46 | $25.46 | $27.16 | |
Medica
| Facility | $34.36 | $34.36 | $90.00 | |
Medica
| Professional | $79.48 | $79.48 | $79.48 |