| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $108.65 | $188.21 | $243.53 | |
Cigna
| Professional | $73.09 | $84.92 | $91.92 | |
Health Partners
| Facility | $96.50 | $177.56 | $252.91 | |
Health Partners
| Professional | $72.38 | $72.38 | $77.20 | |
Medica
| Facility | $603.90 | $603.90 | $603.90 |