| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $215.51 | $305.77 | $735.58 | |
Cigna
| Professional | $160.15 | $249.30 | $368.89 | |
Health Partners
| Facility | $169.78 | $279.55 | $579.20 | |
Health Partners
| Professional | $145.00 | $216.04 | $327.84 | |
Medica
| Professional | $459.01 | $459.01 | $459.01 | |
United
| Professional | $85.00 | $85.00 | $85.00 |