| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $290.05 | $415.09 | $908.94 | |
Cigna
| Professional | $197.53 | $321.54 | $493.60 | |
Health Partners
| Facility | $251.35 | $372.56 | $857.49 | |
Health Partners
| Professional | $179.11 | $295.44 | $422.40 | |
Medica
| Facility | $385.50 | $385.50 | $385.50 | |
Medica
| Professional | $253.80 | $607.94 | $801.06 | |
Medica
| Professional | 25 | $319.20 | $319.20 | $319.20 |