| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.71 | $54.95 | $54.95 | |
Aetna
| Professional | $39.81 | $48.98 | $61.66 | |
BCBS
| Facility | $89.13 | $91.20 | $302.00 | |
BCBS
| Professional | $69.18 | $109.65 | $165.96 | |
BCBS
| Professional | 25 | $54.95 | $85.11 | $131.83 |
Cigna
| Facility | $151.36 | $223.87 | $524.81 | |
Cigna
| Professional | $109.65 | $151.36 | $257.04 | |
Health Partners
| Facility | $169.82 | $213.80 | $416.87 | |
Health Partners
| Professional | $102.33 | $151.36 | $213.80 | |
Medica
| Facility | $44.67 | $63.10 | $112.20 | |
Medica
| Professional | $67.61 | $131.83 | $323.59 | |
United
| Professional | $63.10 | $112.20 | $190.55 |