| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $244.16 | $244.16 | $298.16 | |
Cigna
| Professional | $169.04 | $260.11 | $445.67 | |
Health Partners
| Facility | $210.91 | $210.91 | $234.77 | |
Health Partners
| Professional | $169.04 | $217.96 | $399.56 | |
Medica
| Facility | $289.02 | $520.20 | $520.20 |