| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.21 | $55.30 | $55.30 | |
Aetna
| Professional | $42.29 | $50.98 | $73.23 | |
BCBS
| Facility | $87.91 | $91.17 | $259.45 | |
BCBS
| Professional | $67.98 | $108.21 | $164.29 | |
BCBS
| Professional | 25 | $57.78 | $87.89 | $129.12 |
Cigna
| Facility | $148.16 | $210.22 | $505.71 | |
Cigna
| Professional | $109.38 | $156.38 | $248.67 | |
Health Partners
| Facility | $116.72 | $192.19 | $398.20 | |
Health Partners
| Professional | $100.82 | $145.46 | $207.44 | |
Medica
| Facility | $46.03 | $67.93 | $113.60 | |
Medica
| Professional | $71.33 | $133.12 | $320.01 | |
United
| Professional | $68.23 | $121.00 | $197.58 |