| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $543.25 | $4,557.00 | $7,981.63 | |
BCBS
| Facility | $2,722.50 | $5,396.85 | $11,503.06 | |
Cigna
| Facility | $1,323.36 | $1,877.65 | $4,516.95 | |
Cigna
| Facility | AS | $61.52 | $61.52 | $61.52 |
Health Partners
| Facility | $1,203.05 | $1,716.62 | $3,556.65 | |
Medica
| Facility | $591.19 | $1,105.27 | $5,499.00 | |
Medica
| Facility | AS | $140.25 | $140.25 | $140.25 |
United
| Facility | $3,121.00 | $5,499.00 | $9,810.00 |