| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.47 | $34.47 | $34.47 | |
Aetna
| Professional | $18.44 | $34.47 | $39.34 | |
BCBS
| Facility | $46.32 | $54.08 | $75.29 | |
BCBS
| Professional | $43.26 | $51.38 | $54.08 | |
Cigna
| Facility | $35.60 | $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 | $35.65 | $54.08 | $253.09 | |
Medica
| Professional | $20.23 | $30.57 | $70.30 | |
United
| Professional | $16.18 | $24.28 | $54.30 |