| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $302.00 | $436.52 | $1,047.13 | |
Cigna
| Professional | $165.96 | $208.93 | $295.12 | |
Health Partners
| Facility | $338.84 | $467.74 | $812.83 | |
Health Partners
| Professional | $162.18 | $162.18 | $275.42 | |
Medica
| Facility | $138.04 | $257.04 | $467.74 | |
Medica
| Professional | $169.82 | $257.04 | $707.95 |