| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $190.60 | $327.99 | $399.31 | |
Cigna
| Professional | $104.00 | $120.82 | $130.78 | |
Health Partners
| Facility | $164.40 | $299.31 | $375.65 | |
Health Partners
| Professional | $102.98 | $102.98 | $140.05 | |
Medica
| Facility | $200.91 | $253.11 | $261.25 |