| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,785.13 | $5,367.79 | $12,912.95 | |
Cigna
| Professional | $3,181.75 | $5,175.22 | $7,329.42 | |
Health Partners
| Facility | $3,077.04 | $4,907.45 | $10,167.68 | |
Health Partners
| Professional | $2,689.66 | $4,602.81 | $6,099.71 | |
Medica
| Professional | $11,725.87 | $11,725.87 | $11,725.87 |