| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $803.95 | $1,140.69 | $2,744.07 | |
Cigna
| Professional | $489.51 | $615.52 | $1,017.53 | |
Health Partners
| Facility | $730.86 | $1,042.85 | $2,160.69 | |
Health Partners
| Professional | $484.66 | $484.66 | $912.03 | |
Medica
| Facility | $149.13 | $430.12 | $650.03 | |
Medica
| Professional | $1,611.85 | $1,611.85 | $1,611.85 |