| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,659.59 | $2,344.23 | $5,495.41 | |
Cigna
| Professional | $691.83 | $758.58 | $870.96 | |
Health Partners
| Facility | $1,778.28 | $2,238.72 | $4,365.16 | |
Health Partners
| Professional | $691.83 | $691.83 | $977.24 |