| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $955.97 | $1,355.68 | $3,261.28 | |
Cigna
| Professional | $214.79 | $595.60 | $1,632.97 | |
Health Partners
| Facility | $777.13 | $1,239.42 | $2,567.94 | |
Health Partners
| Professional | $183.33 | $589.71 | $1,418.75 | |
Medica
| Professional | $916.00 | $916.00 | $2,053.30 |