| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $457.09 | $478.63 | $575.44 | |
Cigna
| Professional | $457.09 | $524.81 | $575.44 | |
Health Partners
| Facility | $446.68 | $446.68 | $1,348.96 | |
Health Partners
| Professional | $446.68 | $446.68 | $616.60 | |
Medica
| Facility | $549.54 | $549.54 | $549.54 |