| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $34.67 | $58.88 | $141.25 | |
Cigna
| Professional | $17.38 | $21.88 | $29.51 | |
Health Partners
| Facility | $37.15 | $52.48 | $112.20 | |
Health Partners
| Professional | $17.38 | $17.38 | $28.84 | |
Medica
| Facility | $28.18 | $89.13 | $89.13 |