| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $168.45 | $240.82 | $574.67 | |
Cigna
| Professional | $75.75 | $88.00 | $95.25 | |
Health Partners
| Facility | $132.63 | $218.40 | $452.50 | |
Health Partners
| Professional | $75.00 | $75.00 | $85.50 | |
Medica
| Facility | $101.25 | $101.25 | $200.00 | |
Medica
| Professional | $165.00 | $165.00 | $165.00 |