| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $707.95 | $707.95 | $707.95 | |
Aetna
| Professional | $524.81 | $602.56 | $891.25 | |
BCBS
| Facility | $741.31 | $758.58 | $758.58 | |
BCBS
| Professional | $602.56 | $758.58 | $758.58 | |
Cigna
| Facility | $1,819.70 | $2,884.03 | $6,918.31 | |
Cigna
| Professional | $870.96 | $1,096.48 | $1,445.44 | |
Health Partners
| Facility | $2,238.72 | $2,691.53 | $5,370.32 | |
Health Partners
| Professional | $870.96 | $870.96 | $1,445.44 | |
Medica
| Facility | $758.58 | $1,174.90 | $3,548.13 | |
Medica
| Professional | $316.23 | $446.68 | $1,584.89 | |
United
| Facility | $758.58 | $758.58 | $891.25 | |
United
| Professional | $316.23 | $758.58 | $1,659.59 |