| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $182.77 | $259.19 | $623.52 | |
Cigna
| Professional | $133.34 | $200.49 | $312.69 | |
Health Partners
| Facility | $143.91 | $236.96 | $490.96 | |
Health Partners
| Professional | $122.91 | $173.04 | $252.89 | |
Medica
| Facility | $170.13 | $170.13 | $170.13 |