| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,398.83 | $2,511.89 | $3,019.95 | |
Cigna
| Professional | $2,398.83 | $2,818.38 | $3,019.95 | |
Health Partners
| Facility | $2,398.83 | $2,398.83 | $6,918.31 | |
Health Partners
| Professional | $2,398.83 | $2,398.83 | $3,235.94 | |
Medica
| Facility | $2,951.21 | $2,951.21 | $2,951.21 |