| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $87.55 | $124.22 | $298.83 | |
Cigna
| Professional | $29.16 | $39.00 | $49.53 | |
Health Partners
| Facility | $68.97 | $113.36 | $235.30 | |
Health Partners
| Professional | $28.88 | $39.00 | $39.27 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 |