| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $242.43 | $242.43 | $4,828.00 | |
Aetna
| Facility | 52 | $121.22 | $121.22 | $121.22 |
BCBS
| Facility | $1,234.31 | $3,310.52 | $6,762.24 | |
Cigna
| Facility | $567.09 | $885.08 | $2,129.17 | |
Health Partners
| Facility | $491.43 | $807.69 | $1,676.51 | |
Medica
| Facility | $256.04 | $489.86 | $2,000.00 | |
United
| Facility | $1,224.00 | $3,500.00 | $6,361.00 |