| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $48.01 | $70.04 | $163.78 | |
Cigna
| Professional | $21.59 | $25.08 | $27.15 | |
Health Partners
| Facility | $37.79 | $64.98 | $128.96 | |
Health Partners
| Professional | $21.38 | $21.38 | $29.07 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 |