| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $79.17 | $115.50 | $270.10 | |
Cigna
| Professional | $35.60 | $41.36 | $44.77 | |
Health Partners
| Facility | $62.34 | $107.16 | $212.68 | |
Health Partners
| Professional | $35.25 | $35.25 | $47.94 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 |