| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $30.20 | $30.20 | $30.20 |
Aetna
| Professional | $154.88 | $234.42 | $478.63 | |
BCBS
| Facility | 26 | $22.39 | $25.70 | $25.70 |
BCBS
| Professional | $354.81 | $524.81 | $812.83 | |
Cigna
| Facility | 26 | $77.62 | $109.65 | $263.03 |
Cigna
| Professional | $354.81 | $446.68 | $691.83 | |
Health Partners
| Facility | 26 | $85.11 | $107.15 | $208.93 |
Health Partners
| Professional | $354.81 | $354.81 | $549.54 | |
Medica
| Professional | $229.09 | $380.19 | $954.99 | |
United
| Professional | $245.47 | $436.52 | $794.33 |