| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $321.74 | $456.27 | $1,097.63 | |
Cigna
| Professional | $234.73 | $352.94 | $550.45 | |
Health Partners
| Facility | $253.34 | $417.14 | $864.28 | |
Health Partners
| Professional | $216.36 | $304.61 | $445.18 | |
Medica
| Facility | $305.18 | $305.18 | $305.18 |