| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $214.67 | $304.58 | $732.71 | |
Cigna
| Professional | $159.53 | $248.33 | $367.45 | |
Health Partners
| Facility | $169.12 | $278.45 | $576.94 | |
Health Partners
| Professional | $144.43 | $215.19 | $326.56 | |
Medica
| Professional | $683.00 | $683.00 | $683.00 |