| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,148.38 | $4,464.80 | $10,740.68 | |
Cigna
| Professional | $2,646.50 | $4,304.62 | $6,096.43 | |
Health Partners
| Facility | $2,559.41 | $4,081.90 | $8,457.23 | |
Health Partners
| Professional | $2,237.19 | $3,828.50 | $5,073.59 | |
Medica
| Professional | $6,775.00 | $6,775.00 | $6,775.00 |