| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $454.50 | $495.00 | $571.50 | |
Cigna
| Professional | $454.50 | $528.00 | $572.63 | |
Health Partners
| Facility | $450.00 | $450.00 | $450.00 | |
Health Partners
| Professional | $450.00 | $450.00 | $480.00 | |
Medica
| Facility | $552.85 | $552.85 | $552.85 |