| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $676.08 | $977.24 | $2,344.23 | |
Cigna
| Professional | $501.19 | $776.25 | $1,174.90 | |
Health Partners
| Facility | $758.58 | $933.25 | $1,819.70 | |
Health Partners
| Professional | $467.74 | $660.69 | $1,047.13 | |
Medica
| Professional | $3,630.78 | $3,630.78 | $3,630.78 |