| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $317.52 | $450.30 | $1,083.26 | |
Cigna
| Professional | $193.24 | $242.99 | $401.69 | |
Health Partners
| Facility | $250.03 | $411.68 | $852.96 | |
Health Partners
| Professional | $191.33 | $191.33 | $351.48 | |
Medica
| Facility | $205.21 | $262.58 | $309.50 | |
Medica
| Professional | $1,012.00 | $1,012.00 | $1,012.00 |