| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $163.77 | $255.61 | $614.90 | |
Cigna
| Professional | $89.27 | $112.25 | $155.72 | |
Health Partners
| Facility | $141.91 | $233.69 | $484.18 | |
Health Partners
| Professional | $88.38 | $88.38 | $139.69 | |
Medica
| Facility | $122.82 | $122.82 | $280.72 | |
Medica
| Professional | $280.72 | $280.72 | $280.72 |