| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $810.26 | $1,149.05 | $2,764.19 | |
Cigna
| Professional | $493.10 | $620.03 | $947.70 | |
Health Partners
| Facility | $638.00 | $1,050.50 | $2,176.53 | |
Health Partners
| Professional | $488.22 | $488.22 | $885.52 | |
Medica
| Professional | $525.00 | $1,703.26 | $1,703.26 |