| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $141.25 | $165.96 | $177.83 | |
Health Partners
| Professional | $141.25 | $141.25 | $190.55 | |
Medica
| Professional | $147.91 | $263.03 | $524.81 | |
United
| Professional | $147.91 | $251.19 | $436.52 |