| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $103.24 | $103.24 | $103.24 | |
BCBS
| Facility | $168.60 | $425.74 | $859.41 | |
Cigna
| Facility | $253.39 | $359.52 | $864.89 | |
Health Partners
| Facility | $199.62 | $328.69 | $681.01 | |
Medica
| Facility | $103.24 | $174.48 | $245.50 |