| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.64 | $20.64 | $20.64 | |
Aetna
| Professional | $16.91 | $20.64 | $78.31 | |
BCBS
| Facility | $21.96 | $25.09 | $51.61 | |
BCBS
| Professional | $17.57 | $21.96 | $21.96 | |
Cigna
| Facility | $44.18 | $80.03 | $192.52 | |
Cigna
| Professional | $25.44 | $32.00 | $42.12 | |
Health Partners
| Facility | $43.74 | $73.16 | $151.59 | |
Health Partners
| Professional | $25.19 | $25.19 | $39.82 | |
Medica
| Facility | $21.96 | $44.49 | $122.00 | |
Medica
| Professional | $10.98 | $18.48 | $50.37 | |
United
| Professional | $9.22 | $18.48 | $46.59 |