| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $250.15 | $354.75 | $853.39 | |
Cigna
| Professional | $152.22 | $191.42 | $325.08 | |
Health Partners
| Facility | $203.36 | $324.32 | $671.96 | |
Health Partners
| Professional | $150.72 | $159.01 | $304.27 | |
Medica
| Facility | $94.89 | $138.37 | $1,024.27 |