| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,548.13 | $5,128.61 | $12,302.69 | |
Cigna
| Professional | $562.34 | $1,737.80 | $5,888.44 | |
Health Partners
| Facility | $3,981.07 | $4,897.79 | $9,772.37 | |
Health Partners
| Professional | $562.34 | $1,737.80 | $5,495.41 | |
Medica
| Facility | $436.52 | $2,290.87 | $3,715.35 |