| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,956.87 | $3,054.17 | $7,347.22 | |
Cigna
| Professional | $1,703.46 | $2,870.69 | $4,102.75 | |
Health Partners
| Facility | $1,695.80 | $2,787.13 | $5,785.21 | |
Health Partners
| Professional | $1,530.36 | $2,518.90 | $3,470.62 | |
Medica
| Professional | $4,727.72 | $4,727.72 | $4,727.72 |