| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $161.46 | $161.46 | $161.46 | |
BCBS
| Facility | $338.92 | $32,422.94 | $66,228.75 | |
Cigna
| Facility | $396.50 | $562.58 | $1,353.36 | |
Cigna
| Facility | AS | $19.50 | $19.50 | $19.50 |
Health Partners
| Facility | $360.46 | $514.33 | $1,065.64 | |
Medica
| Facility | $180.52 | $282.61 | $1,260.00 | |
Medica
| Facility | AS | $42.42 | $42.42 | $42.42 |
United
| Facility | $1,356.00 | $2,260.00 | $5,530.00 |