| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $205.87 | $294.62 | $645.13 | |
Cigna
| Professional | $136.66 | $219.46 | $350.00 | |
Health Partners
| Facility | $178.40 | $264.43 | $608.61 | |
Health Partners
| Professional | $124.17 | $200.45 | $299.80 | |
Medica
| Facility | $260.33 | $260.33 | $260.33 | |
Medica
| Professional | $147.00 | $411.91 | $565.95 | |
Medica
| Professional | 25 | $218.40 | $218.40 | $327.27 |