| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $351.88 | $499.27 | $1,201.07 | |
Cigna
| Professional | $214.26 | $269.41 | $445.37 | |
Health Partners
| Facility | $319.89 | $456.46 | $945.73 | |
Health Partners
| Professional | $212.14 | $212.14 | $399.19 | |
Medica
| Facility | $143.88 | $414.21 | $640.57 | |
Medica
| Professional | $1,577.03 | $1,577.03 | $1,577.03 |