| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,630.09 | $2,544.15 | $6,120.29 | |
Cigna
| Professional | $798.75 | $846.68 | $1,014.41 | |
Health Partners
| Facility | $1,308.25 | $2,093.79 | $4,819.13 | |
Health Partners
| Professional | $798.75 | $798.75 | $852.00 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 |