| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $317.37 | $450.30 | $1,083.26 | |
Cigna
| Professional | $142.79 | $165.88 | $179.55 | |
Health Partners
| Facility | $250.03 | $397.02 | $852.96 | |
Health Partners
| Professional | $141.38 | $141.38 | $150.80 | |
Medica
| Professional | $583.46 | $583.46 | $583.46 |