| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $251.84 | $357.14 | $859.14 | |
Cigna
| Professional | $167.23 | $261.23 | $401.18 | |
Health Partners
| Facility | $228.82 | $325.91 | $676.49 | |
Health Partners
| Professional | $147.22 | $238.42 | $344.09 | |
Medica
| Professional | $653.00 | $653.00 | $653.00 |