| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.89 | $114.89 | $114.89 | |
Aetna
| Professional | $85.55 | $114.89 | $128.44 | |
BCBS
| Facility | $119.78 | $140.55 | $301.06 | |
BCBS
| Professional | $97.78 | $122.22 | $122.22 | |
Cigna
| Facility | $265.61 | $445.52 | $1,071.77 | |
Cigna
| Professional | $141.82 | $178.33 | $237.63 | |
Health Partners
| Facility | $243.49 | $407.32 | $843.91 | |
Health Partners
| Professional | $140.41 | $140.41 | $221.95 | |
Medica
| Facility | $122.22 | $220.00 | $336.11 | |
Medica
| Professional | $67.22 | $97.78 | $322.27 | |
United
| Professional | $61.11 | $90.53 | $260.29 |