| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $35.38 | $51.61 | $120.68 | |
Cigna
| Professional | $15.91 | $18.48 | $20.00 | |
Health Partners
| Facility | $27.85 | $47.88 | $95.03 | |
Health Partners
| Professional | $15.75 | $15.75 | $21.42 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 |