| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $705.00 | $705.00 | $705.00 | |
Aetna
| Professional | $525.00 | $652.50 | $705.00 | |
BCBS
| Facility | $727.50 | $750.00 | $750.00 | |
BCBS
| Professional | $600.00 | $750.00 | $750.00 | |
Cigna
| Facility | $1,927.79 | $2,757.36 | $6,580.03 | |
Cigna
| Professional | $870.55 | $1,094.65 | $1,439.61 | |
Health Partners
| Facility | $1,518.73 | $2,500.67 | $5,181.13 | |
Health Partners
| Professional | $861.93 | $861.93 | $1,362.39 | |
Medica
| Facility | $750.00 | $1,191.45 | $3,562.50 | |
Medica
| Professional | $315.00 | $477.75 | $1,591.35 | |
United
| Professional | $382.50 | $750.00 | $1,597.25 |