| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,369.62 | $5,259.10 | $12,651.47 | |
Cigna
| Professional | $2,933.26 | $4,943.16 | $7,064.69 | |
Health Partners
| Facility | $2,920.07 | $4,799.27 | $9,961.79 | |
Health Partners
| Professional | $2,635.20 | $4,337.39 | $5,976.19 | |
Medica
| Professional | $7,454.23 | $7,454.23 | $7,454.23 |