| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $776.25 | $1,096.48 | $2,630.27 | |
Cigna
| Professional | $489.78 | $776.25 | $1,258.93 | |
Health Partners
| Facility | $831.76 | $1,047.13 | $2,041.74 | |
Health Partners
| Professional | $478.63 | $724.44 | $1,174.90 | |
Medica
| Professional | $1,318.26 | $1,513.56 | $1,513.56 |