| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $59.80 | $87.24 | $204.01 | |
Cigna
| Professional | $26.89 | $31.24 | $33.81 | |
Health Partners
| Facility | $47.09 | $80.94 | $160.63 | |
Health Partners
| Professional | $26.63 | $26.63 | $36.21 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 |