| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,122.02 | $1,778.28 | $4,265.80 | |
Cigna
| Professional | $97.72 | $302.00 | $2,041.74 | |
Health Partners
| Facility | $1,380.38 | $1,698.24 | $3,311.31 | |
Health Partners
| Professional | $95.50 | $691.83 | $1,778.28 | |
Medica
| Professional | $524.81 | $2,290.87 | $2,290.87 |