| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.00 | $35.00 | $275.00 | |
Aetna
| Professional | AA | $108.07 | $108.07 | $700.00 |
Cigna
| Professional | AA | $346.28 | $435.42 | $732.79 |
Health Partners
| Professional | AA | $257.14 | $417.75 | $1,025.50 |
Medica
| Facility | $59.15 | $59.15 | $59.15 |