| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.59 | $120.59 | $205.00 | |
Aetna
| Professional | $67.98 | $98.78 | $163.22 | |
BCBS
| Facility | $46.78 | $121.88 | $147.53 | |
BCBS
| Professional | $102.63 | $128.29 | $128.29 | |
Cigna
| Facility | $279.14 | $468.22 | $1,126.35 | |
Cigna
| Professional | $148.91 | $187.25 | $249.51 | |
Health Partners
| Facility | $255.90 | $428.06 | $886.90 | |
Health Partners
| Professional | $147.44 | $147.44 | $233.05 | |
Medica
| Facility | $128.29 | $244.41 | $465.30 | |
Medica
| Professional | $70.56 | $105.99 | $338.28 | |
United
| Professional | $61.86 | $105.59 | $273.22 |