| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $437.98 | $626.13 | $1,494.16 | |
Cigna
| Professional | $196.95 | $214.50 | $247.65 | |
Health Partners
| Facility | $356.04 | $567.84 | $1,176.50 | |
Health Partners
| Professional | $195.00 | $195.00 | $195.00 | |
Medica
| Facility | $255.48 | $255.48 | $322.20 | |
Medica
| Professional | $616.66 | $616.66 | $616.66 |