| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $208.93 | $295.12 | $691.83 | |
Cigna
| Professional | $120.23 | $151.36 | $234.42 | |
Health Partners
| Facility | $223.87 | $281.84 | $549.54 | |
Health Partners
| Professional | $117.49 | $117.49 | $186.21 | |
Medica
| Professional | $186.21 | $512.86 | $512.86 |