| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $696.55 | $987.80 | $2,376.28 | |
Cigna
| Professional | $499.91 | $777.62 | $1,189.83 | |
Health Partners
| Facility | $632.90 | $901.43 | $1,871.09 | |
Health Partners
| Professional | $468.41 | $711.22 | $1,075.09 | |
Medica
| Professional | $392.00 | $1,522.86 | $1,522.86 |