| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,212.24 | $1,891.99 | $4,551.43 | |
Cigna
| Professional | $1,055.25 | $1,778.33 | $2,541.56 | |
Health Partners
| Facility | $1,050.51 | $1,726.56 | $3,583.80 | |
Health Partners
| Professional | $948.02 | $1,560.40 | $2,149.96 | |
Medica
| Professional | $4,124.46 | $4,124.46 | $4,124.46 |