| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $4,202.89 | $5,960.23 | $14,338.14 | |
Cigna
| Professional | $3,532.92 | $5,746.41 | $8,138.36 | |
Health Partners
| Facility | $3,416.65 | $5,449.08 | $11,289.88 | |
Health Partners
| Professional | $2,986.52 | $5,110.82 | $6,772.93 | |
Medica
| Professional | $12,122.00 | $12,122.00 | $12,122.00 |