| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $951.27 | $1,484.68 | $3,571.61 | |
Cigna
| Professional | $828.08 | $1,395.49 | $1,994.42 | |
Health Partners
| Facility | $824.36 | $1,354.87 | $2,812.29 | |
Health Partners
| Professional | $743.94 | $1,224.48 | $1,687.12 | |
Medica
| Professional | $4,000.00 | $4,000.00 | $4,000.00 |