| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,239.81 | $1,758.21 | $4,229.60 | |
Cigna
| Professional | $1,042.18 | $1,695.13 | $2,400.73 | |
Health Partners
| Facility | $1,007.88 | $1,607.42 | $3,330.40 | |
Health Partners
| Professional | $880.99 | $1,507.64 | $1,997.95 | |
Medica
| Professional | $2,962.34 | $2,962.34 | $2,962.34 |