| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $912.01 | $1,288.25 | $3,090.30 | |
Cigna
| Professional | $724.44 | $1,096.48 | $1,659.59 | |
Health Partners
| Facility | $1,000.00 | $1,230.27 | $2,454.71 | |
Health Partners
| Professional | $691.83 | $933.25 | $1,412.54 | |
Medica
| Professional | $3,630.78 | $3,630.78 | $3,630.78 |