| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $4,265.80 | $6,025.60 | $14,454.40 | |
Cigna
| Professional | $3,311.31 | $5,128.61 | $7,762.47 | |
Health Partners
| Facility | $4,677.35 | $5,754.40 | $11,220.18 | |
Health Partners
| Professional | $3,090.30 | $4,265.80 | $6,456.54 | |
Medica
| Professional | $12,882.50 | $12,882.50 | $12,882.50 |