| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.11 | $23.11 | $23.11 | |
Aetna
| Professional | $11.26 | $12.39 | $30.35 | |
BCBS
| Facility | $31.04 | $36.24 | $50.45 | |
BCBS
| Professional | $28.99 | $35.15 | $36.24 | |
Cigna
| Facility | $24.26 | $111.73 | $310.32 | |
Cigna
| Professional | $42.00 | $44.52 | $53.34 | |
Health Partners
| Facility | $66.33 | $107.20 | $244.35 | |
Health Partners
| Professional | $42.00 | $42.00 | $43.20 | |
Medica
| Facility | $10.83 | $36.24 | $169.60 | |
Medica
| Professional | $10.85 | $18.07 | $39.86 | |
United
| Professional | $10.85 | $18.07 | $36.39 |