| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $88.18 | $88.18 | $88.18 | |
Aetna
| Professional | $64.00 | $88.18 | $129.88 | |
BCBS
| Facility | $454.04 | $688.88 | $1,207.89 | |
Cigna
| Facility | $151.53 | $215.00 | $517.21 | |
Cigna
| Professional | $68.93 | $74.25 | $86.68 | |
Health Partners
| Facility | $123.25 | $196.56 | $407.25 | |
Health Partners
| Professional | $67.50 | $68.25 | $85.31 | |
Medica
| Facility | $66.39 | $117.94 | $249.21 | |
Medica
| Professional | $66.15 | $274.74 | $699.52 | |
United
| Professional | $67.50 | $267.89 | $646.17 |