| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $170.05 | $241.28 | $580.41 | |
Cigna
| Professional | $126.37 | $196.71 | $291.07 | |
Health Partners
| Facility | $133.97 | $220.58 | $457.03 | |
Health Partners
| Professional | $114.41 | $170.47 | $258.69 | |
Medica
| Professional | $500.00 | $500.00 | $500.00 | |
United
| Professional | $87.54 | $87.54 | $87.54 |