| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.66 | $114.82 | $389.05 | |
Aetna
| Professional | 52 | $57.54 | $75.86 | $75.86 |
BCBS
| Professional | $104.71 | $165.96 | $263.03 | |
Cigna
| Professional | $125.89 | $208.93 | $316.23 | |
Health Partners
| Professional | $128.82 | $186.21 | $302.00 | |
Medica
| Professional | $75.86 | $144.54 | $1,412.54 | |
United
| Professional | $79.43 | $144.54 | $245.47 |