| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.11 | $120.23 | $288.40 | |
Aetna
| Professional | $91.20 | $123.03 | $263.03 | |
BCBS
| Facility | $93.33 | $97.72 | $1,230.27 | |
BCBS
| Professional | $147.91 | $257.04 | $398.11 | |
Cigna
| Facility | $302.00 | $398.11 | $954.99 | |
Cigna
| Professional | $128.82 | $162.18 | $295.12 | |
Health Partners
| Facility | $302.00 | $389.05 | $912.01 | |
Health Partners
| Professional | $128.82 | $158.49 | $295.12 | |
Medica
| Facility | $102.33 | $141.25 | $223.87 | |
Medica
| Professional | $128.82 | $234.42 | $660.69 | |
United
| Professional | $117.49 | $208.93 | $407.38 |