| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $72.43 | $105.67 | $247.11 | |
Cigna
| Professional | $32.57 | $37.84 | $40.96 | |
Health Partners
| Facility | $57.04 | $98.04 | $194.58 | |
Health Partners
| Professional | $32.25 | $32.25 | $43.86 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 |