| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $45.48 | $66.34 | $155.16 | |
Cigna
| Professional | $20.45 | $23.76 | $25.72 | |
Health Partners
| Facility | $35.81 | $61.56 | $122.18 | |
Health Partners
| Professional | $20.25 | $20.25 | $27.54 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 |