| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $267.92 | $399.34 | $474.30 | |
Cigna
| Professional | $146.19 | $169.84 | $183.83 | |
Health Partners
| Facility | $231.10 | $363.03 | $505.81 | |
Health Partners
| Professional | $144.75 | $144.75 | $154.40 | |
Medica
| Professional | $629.84 | $629.84 | $629.84 |