| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $152.01 | $165.55 | $191.14 | |
Cigna
| Professional | $152.03 | $176.57 | $191.51 | |
Health Partners
| Facility | $150.50 | $150.50 | $150.50 | |
Health Partners
| Professional | $150.50 | $150.53 | $160.52 | |
Medica
| Facility | $184.84 | $184.84 | $184.84 |