| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $538.01 | $839.69 | $2,019.98 | |
Cigna
| Professional | $468.34 | $789.24 | $1,127.98 | |
Health Partners
| Facility | $466.23 | $766.27 | $1,590.54 | |
Health Partners
| Professional | $420.75 | $692.53 | $954.18 | |
Medica
| Professional | $3,301.00 | $3,301.00 | $3,301.00 |