| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,169.63 | $3,386.22 | $8,146.02 | |
Cigna
| Professional | $1,888.67 | $3,182.80 | $4,548.81 | |
Health Partners
| Facility | $1,880.17 | $3,090.15 | $6,414.19 | |
Health Partners
| Professional | $1,696.75 | $2,792.76 | $3,847.95 | |
Medica
| Professional | $5,235.97 | $5,235.97 | $5,235.97 |