| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $251.19 | $363.08 | $851.14 | |
Cigna
| Professional | $177.83 | $295.12 | $407.38 | |
Health Partners
| Facility | $275.42 | $346.74 | $676.08 | |
Health Partners
| Professional | $177.83 | $239.88 | $389.05 | |
Medica
| Professional | $478.63 | $478.63 | $478.63 | |
United
| Professional | $123.03 | $144.54 | $169.82 |