| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.86 | $105.49 | $140.66 | |
Aetna
| Professional | $65.48 | $110.33 | $172.80 | |
BCBS
| Facility | $173.10 | $173.10 | $195.85 | |
BCBS
| Professional | $123.46 | $227.38 | $402.34 | |
Cigna
| Facility | $386.40 | $536.30 | $1,100.80 | |
Cigna
| Professional | $170.39 | $277.35 | $508.65 | |
Health Partners
| Facility | $431.69 | $451.20 | $913.00 | |
Health Partners
| Professional | $168.70 | $274.60 | $468.92 | |
Medica
| Facility | $85.15 | $143.90 | $257.76 | |
Medica
| Professional | $172.69 | $428.99 | $951.45 | |
United
| Professional | $172.11 | $346.23 | $504.70 |