| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $21.73 | $26.77 | $67.06 | |
Cigna
| Professional | $21.10 | $24.51 | $26.53 | |
Health Partners
| Facility | $20.89 | $26.95 | $72.98 | |
Health Partners
| Professional | $20.89 | $20.89 | $22.28 | |
Medica
| Professional | $832.44 | $832.44 | $832.44 |