| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,149.21 | $4,915.10 | $11,823.94 | |
Cigna
| Professional | $2,741.40 | $4,619.83 | $6,602.59 | |
Health Partners
| Facility | $2,729.07 | $4,485.35 | $9,310.19 | |
Health Partners
| Professional | $2,462.83 | $4,053.69 | $5,585.29 | |
Medica
| Professional | $7,378.98 | $7,378.98 | $7,378.98 |