| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.31 | $141.31 | $141.31 | |
Aetna
| Professional | $100.72 | $139.81 | $141.31 | |
BCBS
| Facility | $147.32 | $172.88 | $431.05 | |
BCBS
| Professional | $120.26 | $150.33 | $150.33 | |
Cigna
| Facility | $326.85 | $548.25 | $1,318.88 | |
Cigna
| Professional | $174.78 | $219.77 | $292.85 | |
Health Partners
| Facility | $299.64 | $501.23 | $1,038.49 | |
Health Partners
| Professional | $173.05 | $173.05 | $273.52 | |
Medica
| Facility | $150.33 | $270.58 | $455.50 | |
Medica
| Professional | $76.67 | $120.26 | $396.39 | |
United
| Professional | $63.14 | $90.20 | $320.14 |