| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,454.59 | $2,062.79 | $4,962.32 | |
Cigna
| Professional | $1,043.95 | $1,623.88 | $2,484.69 | |
Health Partners
| Facility | $1,321.67 | $1,882.43 | $3,907.34 | |
Health Partners
| Professional | $978.17 | $1,485.22 | $2,245.10 | |
Medica
| Professional | $221.00 | $3,641.06 | $3,641.06 |