| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $457.09 | $645.65 | $1,548.82 | |
Cigna
| Professional | $263.03 | $331.13 | $524.81 | |
Health Partners
| Facility | $501.19 | $616.60 | $1,202.26 | |
Health Partners
| Professional | $263.03 | $263.03 | $407.38 | |
Medica
| Professional | $467.74 | $1,949.84 | $1,949.84 |