| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.18 | $77.62 | $77.62 | |
Aetna
| Professional | $60.26 | $70.79 | $89.13 | |
BCBS
| Facility | $138.04 | $251.19 | $1,023.29 | |
BCBS
| Professional | $112.20 | $169.82 | $251.19 | |
BCBS
| Professional | 25 | $89.13 | $134.90 | $199.53 |
Cigna
| Facility | $213.80 | $316.23 | $741.31 | |
Cigna
| Professional | $154.88 | $218.78 | $363.08 | |
Health Partners
| Facility | $239.88 | $302.00 | $588.84 | |
Health Partners
| Professional | $154.88 | $213.80 | $302.00 | |
Medica
| Facility | $66.07 | $93.33 | $165.96 | |
Medica
| Professional | $93.33 | $177.83 | $478.63 | |
United
| Professional | $93.33 | $165.96 | $269.15 |