| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $640.12 | $907.77 | $2,183.77 | |
Cigna
| Professional | $389.56 | $489.84 | $809.76 | |
Health Partners
| Facility | $504.03 | $829.92 | $1,719.50 | |
Health Partners
| Professional | $385.70 | $385.70 | $708.54 | |
Medica
| Facility | $385.34 | $429.24 | $524.97 | |
Medica
| Professional | $1,658.00 | $1,658.00 | $1,658.00 |