| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,989.78 | $3,105.53 | $7,470.78 | |
Cigna
| Professional | $1,732.11 | $2,918.97 | $4,171.75 | |
Health Partners
| Facility | $1,724.32 | $2,834.00 | $5,882.50 | |
Health Partners
| Professional | $1,556.10 | $2,561.26 | $3,528.98 | |
Medica
| Professional | $7,624.00 | $7,624.00 | $7,624.00 |