| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $91.76 | $130.19 | $313.20 | |
Cigna
| Professional | $41.28 | $47.96 | $51.91 | |
Health Partners
| Facility | $72.29 | $119.03 | $246.61 | |
Health Partners
| Professional | $40.88 | $40.88 | $46.60 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 |