| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $41.27 | $60.21 | $140.80 | |
Cigna
| Professional | $18.55 | $21.56 | $23.34 | |
Health Partners
| Facility | $32.50 | $55.86 | $110.86 | |
Health Partners
| Professional | $18.38 | $18.38 | $24.99 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 |