| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $40.43 | $58.98 | $137.91 | |
Cigna
| Professional | $18.18 | $21.12 | $22.86 | |
Health Partners
| Facility | $31.83 | $54.72 | $108.60 | |
Health Partners
| Professional | $18.00 | $18.00 | $24.48 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 |