| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $78.33 | $114.27 | $267.22 | |
Cigna
| Professional | $35.22 | $40.92 | $44.29 | |
Health Partners
| Facility | $61.68 | $106.02 | $210.41 | |
Health Partners
| Professional | $34.88 | $34.88 | $47.43 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 |