| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $178.31 | $278.30 | $669.50 | |
Cigna
| Professional | $119.43 | $150.16 | $257.80 | |
Health Partners
| Facility | $143.11 | $245.37 | $527.16 | |
Health Partners
| Professional | $118.25 | $139.96 | $238.71 | |
Medica
| Facility | $95.02 | $126.10 | $188.85 | |
Medica
| Professional | $418.15 | $418.15 | $418.15 |