| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $273.88 | $273.88 | $273.88 | |
Aetna
| Professional | $203.95 | $273.88 | $570.00 | |
BCBS
| Facility | $285.52 | $379.55 | $679.93 | |
BCBS
| Professional | $233.09 | $291.36 | $291.36 | |
Cigna
| Facility | $633.76 | $1,063.05 | $2,557.30 | |
Cigna
| Professional | $338.29 | $425.38 | $566.82 | |
Health Partners
| Facility | $580.00 | $971.88 | $2,013.63 | |
Health Partners
| Professional | $334.94 | $334.94 | $529.41 | |
Medica
| Facility | $291.36 | $509.88 | $801.24 | |
Medica
| Professional | $149.63 | $240.72 | $768.26 | |
United
| Professional | $149.63 | $291.36 | $631.66 |