| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $56.43 | $82.33 | $192.52 | |
Cigna
| Professional | $25.38 | $29.48 | $31.91 | |
Health Partners
| Facility | $44.43 | $76.38 | $151.59 | |
Health Partners
| Professional | $25.13 | $25.13 | $34.17 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 |