| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.66 | $22.66 | $128.25 | |
Aetna
| Professional | $12.06 | $16.37 | $32.15 | |
BCBS
| Facility | $24.11 | $34.86 | $77.48 | |
BCBS
| Professional | $19.29 | $24.11 | $24.11 | |
Cigna
| Facility | $48.79 | $88.39 | $212.63 | |
Cigna
| Professional | $28.36 | $35.67 | $46.52 | |
Health Partners
| Facility | $48.31 | $80.81 | $167.43 | |
Health Partners
| Professional | $28.08 | $28.08 | $44.39 | |
Medica
| Facility | $28.93 | $50.37 | $188.00 | |
Medica
| Professional | $11.08 | $24.11 | $105.09 | |
United
| Professional | $10.13 | $15.36 | $51.35 |