| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.54 | $57.54 | $57.54 | |
Aetna
| Professional | $43.65 | $57.54 | $75.86 | |
BCBS
| Facility | $61.66 | $61.66 | $158.49 | |
BCBS
| Professional | $50.12 | $61.66 | $61.66 | |
Cigna
| Facility | $169.82 | $239.88 | $575.44 | |
Cigna
| Professional | $66.07 | $75.86 | $83.18 | |
Health Partners
| Facility | $186.21 | $229.09 | $446.68 | |
Health Partners
| Professional | $64.57 | $64.57 | $89.13 | |
Medica
| Facility | $61.66 | $89.13 | $295.12 | |
Medica
| Professional | $30.90 | $40.74 | $131.83 | |
United
| Facility | $45.71 | $61.66 | $74.13 | |
United
| Professional | $26.30 | $61.66 | $138.04 |