| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $356.86 | $439.70 | $1,101.74 | |
Cigna
| Professional | $346.56 | $402.60 | $435.77 | |
Health Partners
| Facility | $343.13 | $442.64 | $1,199.02 | |
Health Partners
| Professional | $343.13 | $343.13 | $366.00 | |
Medica
| Professional | $3,239.82 | $3,239.82 | $3,239.82 |