| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $244.33 | $423.24 | $547.62 | |
Cigna
| Professional | $164.38 | $190.96 | $206.69 | |
Health Partners
| Facility | $217.00 | $399.28 | $568.71 | |
Health Partners
| Professional | $162.75 | $162.75 | $173.60 | |
Medica
| Facility | $1,097.59 | $1,097.59 | $1,097.59 |