| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $201.30 | $285.47 | $686.74 | |
Cigna
| Professional | $122.51 | $154.04 | $254.65 | |
Health Partners
| Facility | $158.50 | $260.99 | $540.74 | |
Health Partners
| Professional | $121.29 | $121.29 | $222.82 | |
Medica
| Facility | $139.97 | $207.01 | $219.35 | |
Medica
| Professional | $919.93 | $919.93 | $919.93 |