| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $275.42 | $363.08 | $870.96 | |
Cigna
| Professional | $83.18 | $125.89 | $165.96 | |
Health Partners
| Facility | $275.42 | $354.81 | $831.76 | |
Health Partners
| Professional | $83.18 | $131.83 | $131.83 | |
Medica
| Professional | $165.96 | $165.96 | $524.81 |