| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $212.76 | $212.76 | $212.76 | |
Aetna
| Professional | $146.69 | $212.76 | $212.76 | |
BCBS
| Facility | $167.25 | $189.73 | $1,236.17 | |
BCBS
| Professional | $147.22 | $189.73 | $189.73 | |
Cigna
| Facility | $457.29 | $457.29 | $558.41 | |
Cigna
| Professional | $263.63 | $266.26 | $334.80 | |
Health Partners
| Facility | $395.02 | $395.02 | $439.70 | |
Health Partners
| Professional | $263.63 | $263.63 | $263.63 | |
Medica
| Facility | $158.53 | $233.46 | $1,141.64 | |
Medica
| Professional | $195.86 | $395.77 | $806.04 | |
United
| Professional | $213.80 | $417.75 | $806.04 |