| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,388.44 | $4,786.30 | $11,481.54 | |
Cigna
| Professional | $2,630.27 | $4,073.80 | $6,025.60 | |
Health Partners
| Facility | $3,630.78 | $4,570.88 | $8,912.51 | |
Health Partners
| Professional | $2,454.71 | $3,388.44 | $5,128.61 | |
Medica
| Professional | $6,606.93 | $6,606.93 | $6,606.93 |