| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $723.21 | $1,128.74 | $2,715.34 | |
Cigna
| Professional | $629.55 | $1,060.93 | $1,516.27 | |
Health Partners
| Facility | $626.72 | $1,030.05 | $2,138.06 | |
Health Partners
| Professional | $565.58 | $930.92 | $1,282.65 | |
Medica
| Professional | $3,304.20 | $3,304.20 | $3,304.20 |