| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $89.23 | $126.61 | $304.58 | |
Cigna
| Professional | $40.15 | $46.64 | $50.48 | |
Health Partners
| Facility | $72.58 | $115.54 | $239.83 | |
Health Partners
| Professional | $39.75 | $39.75 | $42.40 | |
Medica
| Facility | $65.34 | $65.34 | $90.00 |