| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $341.12 | $483.75 | $1,163.72 | |
Cigna
| Professional | $207.59 | $261.02 | $431.52 | |
Health Partners
| Facility | $268.60 | $442.26 | $916.31 | |
Health Partners
| Professional | $205.54 | $205.54 | $377.58 | |
Medica
| Facility | $192.46 | $199.87 | $243.20 | |
Medica
| Professional | $775.00 | $775.00 | $775.00 |