| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $177.83 | $251.19 | $602.56 | |
Cigna
| Professional | $75.86 | $87.10 | $95.50 | |
Health Partners
| Facility | $194.98 | $234.42 | $467.74 | |
Health Partners
| Professional | $75.86 | $75.86 | $102.33 | |
Medica
| Facility | $102.33 | $102.33 | $199.53 | |
Medica
| Professional | $165.96 | $165.96 | $165.96 |