| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $283.27 | $283.27 | $283.27 | |
Aetna
| Professional | $210.95 | $280.26 | $283.27 | |
BCBS
| Facility | $286.27 | $301.35 | $301.35 | |
BCBS
| Professional | $241.08 | $301.35 | $301.35 | |
Cigna
| Facility | $704.08 | $1,098.88 | $2,643.51 | |
Cigna
| Professional | $349.97 | $440.06 | $610.54 | |
Health Partners
| Facility | $610.14 | $1,004.64 | $2,081.50 | |
Health Partners
| Professional | $346.51 | $346.51 | $547.70 | |
Medica
| Facility | $301.35 | $527.36 | $828.71 | |
Medica
| Professional | $153.69 | $241.08 | $794.60 | |
United
| Professional | $126.57 | $241.08 | $639.40 |