| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.98 | $204.98 | $204.98 | |
Aetna
| Professional | $152.63 | $204.98 | $319.18 | |
BCBS
| Facility | $46.78 | $196.25 | $218.06 | |
BCBS
| Professional | $174.45 | $218.06 | $218.06 | |
Cigna
| Facility | $474.25 | $795.49 | $1,913.67 | |
Cigna
| Professional | $253.07 | $318.22 | $424.03 | |
Health Partners
| Facility | $434.76 | $727.27 | $1,506.83 | |
Health Partners
| Professional | $250.57 | $250.57 | $396.05 | |
Medica
| Facility | $218.06 | $403.41 | $599.66 | |
Medica
| Professional | $119.93 | $176.02 | $574.98 | |
United
| Professional | $94.74 | $174.45 | $464.39 |