| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.66 | $79.43 | $114.82 | |
Aetna
| Professional | $66.07 | $85.11 | $380.19 | |
BCBS
| Facility | $56.23 | $66.07 | $69.18 | |
BCBS
| Professional | $100.00 | $177.83 | $263.03 | |
Cigna
| Facility | $199.53 | $269.15 | $645.65 | |
Cigna
| Professional | $91.20 | $114.82 | $208.93 | |
Health Partners
| Facility | $199.53 | $263.03 | $602.56 | |
Health Partners
| Professional | $91.20 | $104.71 | $204.17 | |
Medica
| Facility | $74.13 | $100.00 | $154.88 | |
Medica
| Professional | $87.10 | $141.25 | $489.78 | |
United
| Professional | $85.11 | $147.91 | $295.12 |