| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $290.33 | $290.33 | $290.33 | |
Aetna
| Professional | $192.91 | $290.33 | $307.35 | |
BCBS
| Facility | $360.15 | $446.02 | $587.54 | |
BCBS
| Professional | $334.29 | $396.97 | $417.86 | |
Cigna
| Facility | $233.26 | $1,289.05 | $3,580.23 | |
Cigna
| Professional | $484.50 | $513.57 | $615.32 | |
Health Partners
| Facility | $765.29 | $1,236.78 | $2,819.08 | |
Health Partners
| Professional | $484.50 | $484.50 | $498.40 | |
Medica
| Facility | $123.84 | $417.86 | $1,945.90 | |
Medica
| Professional | $124.16 | $206.76 | $456.06 | |
United
| Professional | $124.16 | $206.76 | $434.73 |