| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,042.27 | $3,425.64 | $8,240.84 | |
Cigna
| Professional | $1,196.33 | $1,504.29 | $2,087.07 | |
Health Partners
| Facility | $1,872.23 | $3,131.86 | $6,488.85 | |
Health Partners
| Professional | $1,184.48 | $1,184.48 | $1,872.23 | |
Medica
| Facility | $625.00 | $625.00 | $625.00 |