| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,668.35 | $2,603.87 | $6,263.96 | |
Cigna
| Professional | $817.50 | $866.55 | $1,038.23 | |
Health Partners
| Facility | $1,338.96 | $2,142.94 | $4,932.25 | |
Health Partners
| Professional | $817.50 | $817.50 | $872.00 | |
Medica
| Facility | $1,065.60 | $1,065.60 | $1,065.60 |