| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $530.01 | $789.98 | $919.44 | |
Cigna
| Professional | $289.20 | $335.98 | $363.66 | |
Health Partners
| Facility | $457.17 | $718.17 | $1,044.59 | |
Health Partners
| Professional | $286.35 | $286.35 | $389.44 |