| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $363.08 | $512.86 | $1,230.27 | |
Cigna
| Professional | $169.82 | $316.23 | $588.84 | |
Health Partners
| Facility | $398.11 | $489.78 | $977.24 | |
Health Partners
| Professional | $165.96 | $302.00 | $524.81 | |
Medica
| Professional | $1,023.29 | $1,148.15 | $1,148.15 |