| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.88 | $12.88 | $12.88 | |
Aetna
| Professional | $10.00 | $12.88 | $79.43 | |
BCBS
| Facility | $14.13 | $14.13 | $95.50 | |
Cigna
| Facility | $27.54 | $52.48 | $128.82 | |
Cigna
| Professional | $16.60 | $20.89 | $28.18 | |
Health Partners
| Facility | $33.88 | $47.86 | $102.33 | |
Health Partners
| Professional | $16.60 | $16.60 | $27.54 | |
Medica
| Facility | $14.13 | $24.55 | $104.71 | |
Medica
| Professional | $6.92 | $8.51 | $30.20 | |
United
| Facility | $8.91 | $14.13 | $16.98 | |
United
| Professional | $5.89 | $14.13 | $30.90 |