| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.10 | $96.10 | $96.10 | |
Aetna
| Professional | $69.12 | $96.10 | $98.73 | |
BCBS
| Facility | $172.49 | $181.57 | $627.16 | |
BCBS
| Professional | $145.26 | $176.12 | $181.57 | |
Cigna
| Professional | $20.93 | $20.93 | $20.93 | |
Health Partners
| Professional | $150.44 | $150.44 | $150.44 | |
Medica
| Facility | $71.59 | $96.10 | $162.41 |