| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,942.64 | $5,591.15 | $13,450.27 | |
Cigna
| Professional | $3,314.15 | $5,390.57 | $7,634.40 | |
Health Partners
| Facility | $3,205.08 | $5,111.64 | $10,590.76 | |
Health Partners
| Professional | $2,801.58 | $4,794.34 | $6,353.52 | |
Medica
| Professional | $9,730.00 | $9,730.00 | $9,730.00 |