| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $773.00 | $773.00 | $773.00 | |
Aetna
| Professional | $352.38 | $352.38 | $372.52 | |
BCBS
| Facility | $488.30 | $503.40 | $503.40 | |
BCBS
| Professional | $402.72 | $503.40 | $503.40 | |
Cigna
| Facility | $1,094.48 | $1,850.68 | $4,416.38 | |
Cigna
| Professional | $583.98 | $734.31 | $966.24 | |
Health Partners
| Facility | $1,003.35 | $1,678.40 | $3,477.46 | |
Health Partners
| Professional | $578.20 | $578.20 | $913.92 | |
Medica
| Facility | $503.40 | $799.71 | $2,391.15 | |
Medica
| Professional | $211.43 | $320.67 | $1,068.10 | |
United
| Facility | $503.40 | $604.08 | $604.08 | |
United
| Professional | $211.43 | $453.06 | $1,072.08 |