| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.86 | $67.86 | $264.80 | |
Aetna
| Professional | $49.54 | $52.57 | $67.86 | |
BCBS
| Facility | $72.19 | $91.32 | $149.09 | |
BCBS
| Professional | $57.75 | $72.19 | $72.19 | |
Cigna
| Facility | $145.06 | $262.77 | $632.14 | |
Cigna
| Professional | $83.84 | $105.43 | $138.30 | |
Health Partners
| Facility | $143.62 | $240.24 | $497.75 | |
Health Partners
| Professional | $83.01 | $83.01 | $131.21 | |
Medica
| Facility | $72.19 | $133.55 | $342.90 | |
Medica
| Professional | $30.32 | $45.99 | $153.16 | |
United
| Professional | $30.32 | $72.19 | $153.74 |