| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $32.85 | $47.92 | $112.06 | |
Cigna
| Professional | $14.77 | $17.16 | $18.57 | |
Health Partners
| Facility | $25.86 | $44.46 | $88.24 | |
Health Partners
| Professional | $14.63 | $14.63 | $19.89 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 |