| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $208.88 | $296.22 | $712.60 | |
Cigna
| Professional | $127.12 | $159.84 | $271.45 | |
Health Partners
| Facility | $169.81 | $270.82 | $561.10 | |
Health Partners
| Professional | $125.86 | $125.86 | $254.08 | |
Medica
| Facility | $223.54 | $350.72 | $501.55 |