| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,745.65 | $2,724.51 | $6,554.17 | |
Cigna
| Professional | $855.38 | $906.70 | $1,086.33 | |
Health Partners
| Facility | $1,400.99 | $2,242.21 | $5,160.76 | |
Health Partners
| Professional | $855.38 | $855.38 | $912.40 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 |