| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.89 | $45.89 | $65.36 | |
Aetna
| Professional | $34.24 | $45.89 | $74.80 | |
Aetna
| Professional | 25 | $78.05 | $78.05 | $78.05 |
BCBS
| Facility | $1.00 | $89.94 | $211.69 | |
BCBS
| Professional | $76.45 | $121.70 | $193.90 | |
BCBS
| Professional | 25 | $62.02 | $103.84 | $156.54 |
Cigna
| Facility | $180.99 | $256.80 | $617.78 | |
Cigna
| Professional | $133.96 | $185.81 | $304.55 | |
Health Partners
| Facility | $142.59 | $234.78 | $486.44 | |
Health Partners
| Professional | $123.48 | $173.83 | $254.06 | |
Medica
| Facility | $39.54 | $72.80 | $133.11 | |
Medica
| Professional | $56.10 | $95.38 | $314.14 | |
United
| Professional | $53.76 | $88.83 | $140.63 |