| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.15 | $43.15 | $43.15 | |
Aetna
| Professional | $35.22 | $39.68 | $45.43 | |
BCBS
| Facility | $80.68 | $166.36 | $354.72 | |
BCBS
| Professional | $61.45 | $96.48 | $148.01 | |
Cigna
| Facility | $121.22 | $172.00 | $413.77 | |
Cigna
| Professional | $54.54 | $63.36 | $68.58 | |
Health Partners
| Facility | $95.50 | $157.25 | $325.80 | |
Health Partners
| Professional | $54.00 | $54.00 | $61.56 | |
Medica
| Facility | $39.58 | $58.20 | $100.10 | |
Medica
| Professional | $52.30 | $89.18 | $153.66 | |
United
| Professional | $50.03 | $85.66 | $140.66 |