| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $138.40 | $206.29 | $245.01 | |
Cigna
| Professional | $75.52 | $87.74 | $94.96 | |
Health Partners
| Facility | $119.38 | $187.54 | $261.29 | |
Health Partners
| Professional | $74.78 | $74.78 | $79.76 | |
Medica
| Professional | $200.64 | $200.64 | $200.64 |