| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $354.81 | $501.19 | $1,202.26 | |
Cigna
| Professional | $204.17 | $257.04 | $398.11 | |
Health Partners
| Facility | $389.05 | $478.63 | $933.25 | |
Health Partners
| Professional | $204.17 | $204.17 | $316.23 | |
Medica
| Facility | $371.54 | $891.25 | $933.25 |