| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,630.16 | $5,148.01 | $12,384.25 | |
Cigna
| Professional | $3,051.48 | $4,963.33 | $7,029.33 | |
Health Partners
| Facility | $2,951.06 | $4,706.52 | $9,751.37 | |
Health Partners
| Professional | $2,579.54 | $4,414.35 | $5,849.96 | |
Medica
| Professional | $8,992.00 | $8,992.00 | $8,992.00 |