| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $257.04 | $371.54 | $891.25 | |
Cigna
| Professional | $151.36 | $190.55 | $316.23 | |
Health Partners
| Facility | $288.40 | $354.81 | $691.83 | |
Health Partners
| Professional | $151.36 | $151.36 | $257.04 | |
Medica
| Facility | $616.60 | $616.60 | $616.60 | |
Medica
| Professional | $870.96 | $870.96 | $870.96 | |
United
| Professional | $100.00 | $131.83 | $169.82 |