| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.57 | $64.57 | $239.88 | |
Aetna
| Professional | $42.66 | $61.66 | $75.86 | |
BCBS
| Facility | $1.00 | $1.00 | $1.00 | |
Cigna
| Facility | $107.15 | $107.15 | $478.63 | |
Cigna
| Professional | $117.49 | $128.82 | $147.91 | |
Health Partners
| Facility | $371.54 | $371.54 | $371.54 | |
Health Partners
| Professional | $117.49 | $117.49 | $144.54 | |
Medica
| Facility | $47.86 | $81.28 | $138.04 | |
Medica
| Professional | $61.66 | $107.15 | $331.13 | |
United
| Professional | $63.10 | $93.33 | $177.83 |