| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $549.54 | $549.54 | $549.54 | |
Aetna
| Professional | $407.38 | $501.19 | $707.95 | |
BCBS
| Facility | $575.44 | $588.84 | $588.84 | |
BCBS
| Professional | $467.74 | $588.84 | $588.84 | |
Cigna
| Facility | $1,548.82 | $2,238.72 | $5,370.32 | |
Cigna
| Professional | $676.08 | $851.14 | $1,202.26 | |
Health Partners
| Facility | $1,737.80 | $2,089.30 | $4,265.80 | |
Health Partners
| Professional | $676.08 | $676.08 | $1,122.02 | |
Medica
| Facility | $588.84 | $1,023.29 | $1,778.28 | |
Medica
| Professional | $245.47 | $354.81 | $1,548.82 | |
United
| Facility | $588.84 | $588.84 | $707.95 | |
United
| Professional | $245.47 | $478.63 | $1,258.93 |