| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $893.87 | $1,395.10 | $3,356.10 | |
Cigna
| Professional | $778.12 | $1,311.29 | $1,874.08 | |
Health Partners
| Facility | $774.62 | $1,273.11 | $2,642.60 | |
Health Partners
| Professional | $699.05 | $1,150.59 | $1,585.33 | |
Medica
| Professional | $3,068.00 | $3,068.00 | $3,068.00 |