| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $52.22 | $76.18 | $178.15 | |
Cigna
| Professional | $23.48 | $27.28 | $29.53 | |
Health Partners
| Facility | $41.12 | $70.68 | $140.28 | |
Health Partners
| Professional | $23.25 | $23.25 | $31.62 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 |