| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $757.50 | $825.00 | $952.50 | |
Cigna
| Professional | $757.50 | $880.00 | $954.38 | |
Health Partners
| Facility | $750.00 | $750.00 | $750.00 | |
Health Partners
| Professional | $750.00 | $750.00 | $800.00 | |
Medica
| Facility | $921.28 | $921.28 | $921.28 |