| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $21.90 | $31.95 | $74.70 | |
Cigna
| Professional | $9.85 | $11.44 | $12.38 | |
Health Partners
| Facility | $17.23 | $29.64 | $58.83 | |
Health Partners
| Professional | $9.75 | $9.75 | $13.26 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 |