| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $445.40 | $695.16 | $1,672.30 | |
Cigna
| Professional | $195.38 | $207.10 | $248.13 | |
Health Partners
| Facility | $357.46 | $577.69 | $1,316.78 | |
Health Partners
| Professional | $195.38 | $195.38 | $232.80 | |
Medica
| Facility | $360.15 | $360.15 | $360.15 |