| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.50 | $58.25 | $58.25 | |
Aetna
| Professional | $43.94 | $51.03 | $59.38 | |
BCBS
| Facility | $89.08 | $93.63 | $262.93 | |
BCBS
| Professional | $72.45 | $109.65 | $164.79 | |
BCBS
| Professional | 25 | $58.05 | $88.22 | $129.85 |
Cigna
| Facility | $149.00 | $211.42 | $508.59 | |
Cigna
| Professional | $111.84 | $159.91 | $254.25 | |
Health Partners
| Facility | $117.39 | $193.28 | $400.46 | |
Health Partners
| Professional | $103.08 | $148.72 | $212.10 | |
Medica
| Facility | $48.18 | $72.13 | $116.26 | |
Medica
| Professional | $70.06 | $130.79 | $322.24 | |
United
| Professional | $69.08 | $115.77 | $194.12 |