| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.23 | $29.98 | $39.97 | |
Aetna
| Professional | $22.94 | $34.39 | $50.31 | |
BCBS
| Facility | $67.90 | $78.84 | $78.84 | |
BCBS
| Professional | $55.00 | $97.66 | $148.78 | |
BCBS
| Professional | 25 | $50.10 | $78.51 | $116.60 |
Cigna
| Facility | $137.22 | $190.46 | $390.91 | |
Cigna
| Professional | $98.54 | $128.24 | $213.38 | |
Health Partners
| Facility | $153.30 | $160.22 | $324.22 | |
Health Partners
| Professional | $92.89 | $120.87 | $187.55 | |
Medica
| Facility | $27.67 | $50.64 | $94.09 | |
Medica
| Professional | $52.80 | $129.99 | $321.17 | |
United
| Professional | $51.44 | $101.59 | $149.41 |