| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $451.45 | $640.22 | $1,540.13 | |
Cigna
| Professional | $274.74 | $345.47 | $571.10 | |
Health Partners
| Facility | $355.48 | $585.30 | $1,212.70 | |
Health Partners
| Professional | $272.02 | $272.02 | $499.71 | |
Medica
| Facility | $112.39 | $118.68 | $279.45 | |
Medica
| Professional | $720.48 | $720.48 | $720.48 |