| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $234.03 | $332.05 | $798.80 | |
Cigna
| Professional | $87.87 | $110.49 | $132.40 | |
Health Partners
| Facility | $190.35 | $303.58 | $628.98 | |
Health Partners
| Professional | $87.00 | $104.25 | $121.80 | |
Medica
| Professional | $392.88 | $392.88 | $392.88 |