| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.66 | $42.66 | $42.66 | |
Aetna
| Professional | $33.11 | $38.90 | $52.48 | |
BCBS
| Facility | $87.10 | $158.49 | $616.60 | |
BCBS
| Professional | $61.66 | $97.72 | $154.88 | |
Cigna
| Facility | $125.89 | $181.97 | $436.52 | |
Cigna
| Professional | $54.95 | $63.10 | $69.18 | |
Health Partners
| Facility | $141.25 | $173.78 | $338.84 | |
Health Partners
| Professional | $53.70 | $53.70 | $74.13 | |
Medica
| Facility | $38.90 | $56.23 | $100.00 | |
Medica
| Professional | $48.98 | $91.20 | $158.49 | |
United
| Professional | $50.12 | $93.33 | $151.36 |