| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.47 | $34.47 | $34.47 | |
Aetna
| Professional | $16.80 | $20.17 | $39.34 | |
BCBS
| Facility | $46.32 | $54.08 | $75.29 | |
BCBS
| Professional | $43.26 | $52.26 | $54.08 | |
Cigna
| Facility | $36.21 | $166.56 | $462.61 | |
Cigna
| Professional | $62.63 | $66.38 | $79.53 | |
Health Partners
| Facility | $98.89 | $159.81 | $364.26 | |
Health Partners
| Professional | $62.63 | $62.63 | $64.40 | |
Medica
| Facility | $16.14 | $54.08 | $253.09 | |
Medica
| Professional | $18.53 | $29.13 | $59.49 | |
United
| Professional | $16.18 | $27.15 | $54.30 |