| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $178.80 | $178.80 | $178.80 | |
Aetna
| Professional | $143.04 | $148.40 | $178.80 | |
BCBS
| Facility | $1.00 | $102.80 | $214.51 | |
BCBS
| Professional | $90.79 | $111.55 | $113.49 | |
Cigna
| Facility | $159.27 | $183.16 | $286.47 | |
Cigna
| Professional | $126.39 | $158.01 | $198.69 | |
Health Partners
| Facility | $156.44 | $156.44 | $157.86 | |
Health Partners
| Professional | $99.52 | $156.44 | $156.44 | |
Medica
| Facility | $178.80 | $178.80 | $302.17 |