| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $164.32 | $164.32 | $164.32 | |
Aetna
| Professional | $122.37 | $164.32 | $209.77 | |
BCBS
| Facility | $171.31 | $227.72 | $407.94 | |
BCBS
| Professional | $139.85 | $174.81 | $174.81 | |
Cigna
| Facility | $380.26 | $637.83 | $1,534.38 | |
Cigna
| Professional | $202.73 | $254.91 | $339.68 | |
Health Partners
| Facility | $348.60 | $583.13 | $1,208.18 | |
Health Partners
| Professional | $200.72 | $200.72 | $317.26 | |
Medica
| Facility | $174.81 | $305.92 | $480.73 | |
Medica
| Professional | $89.78 | $139.85 | $460.94 | |
United
| Professional | $87.41 | $157.33 | $372.29 |