| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $47.17 | $68.81 | $160.91 | |
Cigna
| Professional | $21.21 | $24.64 | $26.67 | |
Health Partners
| Facility | $37.14 | $63.84 | $126.70 | |
Health Partners
| Professional | $21.00 | $21.00 | $28.56 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 |