| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.57 | $85.11 | $134.90 | |
Aetna
| Professional | $67.61 | $87.10 | $173.78 | |
BCBS
| Facility | $67.61 | $70.79 | $724.44 | |
BCBS
| Professional | $104.71 | $190.55 | $281.84 | |
Cigna
| Facility | $213.80 | $288.40 | $676.08 | |
Cigna
| Professional | $95.50 | $120.23 | $223.87 | |
Health Partners
| Facility | $213.80 | $275.42 | $645.65 | |
Health Partners
| Professional | $95.50 | $112.20 | $213.80 | |
Medica
| Facility | $79.43 | $102.33 | $162.18 | |
Medica
| Professional | $93.33 | $165.96 | $512.86 | |
United
| Professional | $91.20 | $151.36 | $309.03 |