| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $263.03 | $371.54 | $891.25 | |
Cigna
| Professional | $151.36 | $190.55 | $302.00 | |
Health Partners
| Facility | $288.40 | $354.81 | $707.95 | |
Health Partners
| Professional | $151.36 | $151.36 | $234.42 | |
Medica
| Facility | $95.50 | $144.54 | $1,174.90 |