| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $63.17 | $92.16 | $215.50 | |
Cigna
| Professional | $28.41 | $33.00 | $35.72 | |
Health Partners
| Facility | $49.74 | $85.50 | $169.69 | |
Health Partners
| Professional | $28.13 | $28.13 | $38.25 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 |