| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.85 | $213.80 | $812.83 | |
Aetna
| Professional | $15.49 | $79.43 | $223.87 | |
BCBS
| Facility | $17.78 | $17.78 | $95.50 | |
BCBS
| Professional | $14.45 | $17.78 | $17.78 | |
Cigna
| Facility | $34.67 | $67.61 | $165.96 | |
Cigna
| Professional | $20.89 | $26.30 | $34.67 | |
Health Partners
| Facility | $43.65 | $61.66 | $128.82 | |
Health Partners
| Professional | $20.42 | $20.42 | $34.67 | |
Medica
| Facility | $26.30 | $47.86 | $123.03 | |
Medica
| Professional | $9.77 | $25.70 | $97.72 | |
United
| Facility | $13.18 | $17.78 | $30.20 | |
United
| Professional | $7.59 | $17.78 | $39.81 |