| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $707.95 | $707.95 | $707.95 | |
Aetna
| Professional | $707.95 | $707.95 | $1,348.96 | |
BCBS
| Facility | $724.44 | $724.44 | $724.44 | |
BCBS
| Professional | $575.44 | $724.44 | $724.44 | |
Cigna
| Professional | $1,230.27 | $1,348.96 | $1,548.82 | |
Health Partners
| Professional | $1,230.27 | $1,230.27 | $1,445.44 | |
Medica
| Facility | $707.95 | $707.95 | $1,348.96 | |
United
| Professional | $676.08 | $724.44 | $2,511.89 |