| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,624.74 | $4,466.21 | $11,191.03 | |
Cigna
| Professional | $3,520.18 | $4,089.45 | $4,426.35 | |
Health Partners
| Facility | $3,485.33 | $4,496.08 | $12,179.12 | |
Health Partners
| Professional | $3,485.33 | $3,485.33 | $3,717.68 | |
Medica
| Professional | $15,683.40 | $15,683.40 | $15,683.40 |