| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $125.89 | $125.89 | $125.89 | |
Aetna
| Professional | $100.00 | $100.00 | $131.83 | |
BCBS
| Facility | $0.02 | $0.03 | $0.07 | |
Cigna
| Facility | $0.07 | $0.12 | $0.14 | |
Cigna
| Professional | $0.04 | $0.05 | $0.05 | |
Health Partners
| Facility | $0.10 | $0.11 | $0.14 | |
Health Partners
| Professional | $0.04 | $0.04 | $0.05 |