| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $64.57 | $91.20 | $213.80 | |
Cigna
| Professional | $27.54 | $31.62 | $34.67 | |
Health Partners
| Facility | $69.18 | $87.10 | $169.82 | |
Health Partners
| Professional | $26.92 | $26.92 | $36.31 | |
Medica
| Facility | $89.13 | $89.13 | $89.13 |