| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $4,028.55 | $5,712.98 | $13,743.35 | |
Cigna
| Professional | $3,386.36 | $5,508.03 | $7,800.76 | |
Health Partners
| Facility | $3,274.92 | $5,223.04 | $10,821.54 | |
Health Partners
| Professional | $2,862.63 | $4,898.81 | $6,491.97 | |
Medica
| Professional | $12,919.80 | $12,919.80 | $12,919.80 |