| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $89.13 | $144.54 | $165.96 | |
Cigna
| Professional | $50.12 | $58.88 | $63.10 | |
Health Partners
| Facility | $125.89 | $131.83 | $186.21 | |
Health Partners
| Professional | $50.12 | $50.12 | $67.61 |