| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.23 | $56.23 | $56.23 | |
Aetna
| Professional | $38.02 | $53.70 | $64.57 | |
BCBS
| Facility | $144.54 | $269.15 | $660.69 | |
Cigna
| Facility | $87.10 | $87.10 | $87.10 | |
Cigna
| Professional | $70.79 | $104.71 | $263.03 | |
Health Partners
| Professional | $30.20 | $81.28 | $89.13 | |
Medica
| Facility | $43.65 | $61.66 | $117.49 | |
Medica
| Professional | $57.54 | $104.71 | $338.84 | |
United
| Facility | $239.88 | $245.47 | $331.13 | |
United
| Professional | $56.23 | $89.13 | $177.83 |