| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $406.81 | $576.91 | $1,387.84 | |
Cigna
| Professional | $247.57 | $311.31 | $514.63 | |
Health Partners
| Facility | $320.33 | $527.44 | $1,092.79 | |
Health Partners
| Professional | $245.12 | $245.12 | $450.30 | |
Medica
| Facility | $112.39 | $118.68 | $253.48 | |
Medica
| Professional | $648.24 | $648.24 | $648.24 |