| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $513.78 | $728.61 | $1,752.76 | |
Cigna
| Professional | $312.67 | $393.16 | $600.92 | |
Health Partners
| Facility | $404.55 | $666.12 | $1,380.13 | |
Health Partners
| Professional | $309.58 | $309.58 | $561.51 | |
Medica
| Professional | $474.00 | $1,429.00 | $1,429.00 |