| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $256.05 | $363.11 | $873.51 | |
Cigna
| Professional | $186.80 | $280.87 | $438.05 | |
Health Partners
| Facility | $201.61 | $331.97 | $687.80 | |
Health Partners
| Professional | $172.19 | $242.41 | $354.28 | |
Medica
| Facility | $239.44 | $239.44 | $239.44 |