| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $429.48 | $429.48 | $429.48 | |
Aetna
| Professional | $410.33 | $429.48 | $457.20 | |
Cigna
| Professional | $88.76 | $88.76 | $88.76 | |
Health Partners
| Professional | $69.44 | $69.44 | $69.44 | |
Medica
| Facility | $387.45 | $429.48 | $725.82 |