| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $714.02 | $1,114.41 | $2,680.86 | |
Cigna
| Professional | $621.55 | $1,047.46 | $1,497.02 | |
Health Partners
| Facility | $618.77 | $1,016.97 | $2,110.91 | |
Health Partners
| Professional | $558.40 | $919.10 | $1,266.35 | |
Medica
| Professional | $2,056.65 | $2,056.65 | $2,056.65 |