| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $473.76 | $473.76 | $473.76 | |
Aetna
| Professional | $302.39 | $403.20 | $473.76 | |
BCBS
| Facility | $189.36 | $453.74 | $516.03 | |
BCBS
| Professional | $403.20 | $504.00 | $504.00 | |
Cigna
| Facility | $1,095.90 | $1,853.09 | $4,422.12 | |
Cigna
| Professional | $584.82 | $735.36 | $978.05 | |
Health Partners
| Facility | $1,004.66 | $1,680.59 | $3,481.99 | |
Health Partners
| Professional | $579.03 | $579.03 | $915.23 | |
Medica
| Facility | $504.00 | $932.40 | $2,394.00 | |
Medica
| Professional | $211.68 | $453.60 | $1,328.95 | |
United
| Professional | $211.68 | $403.20 | $1,073.34 |