| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $228.98 | $324.89 | $781.56 | |
Cigna
| Professional | $170.16 | $264.88 | $391.94 | |
Health Partners
| Facility | $180.39 | $297.02 | $615.40 | |
Health Partners
| Professional | $154.06 | $229.54 | $348.33 | |
Medica
| Professional | $500.00 | $500.00 | $500.00 |