| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $56.23 | $79.43 | $190.55 | |
Cigna
| Professional | $23.99 | $27.54 | $30.20 | |
Health Partners
| Facility | $61.66 | $75.86 | $147.91 | |
Health Partners
| Professional | $23.44 | $23.44 | $32.36 | |
Medica
| Facility | $89.13 | $89.13 | $89.13 |