| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $209.27 | $209.27 | $209.27 | |
Aetna
| Professional | $160.69 | $209.27 | $307.35 | |
BCBS
| Facility | $295.70 | $314.79 | $487.86 | |
BCBS
| Professional | $272.06 | $327.92 | $340.07 | |
Cigna
| Facility | $278.10 | $788.33 | $2,189.51 | |
Cigna
| Professional | $298.13 | $316.01 | $378.62 | |
Health Partners
| Facility | $468.02 | $756.36 | $1,724.03 | |
Health Partners
| Professional | $298.13 | $298.13 | $304.80 | |
Medica
| Facility | $86.64 | $257.14 | $1,140.66 | |
Medica
| Professional | $124.16 | $207.96 | $419.62 | |
United
| Professional | $124.16 | $207.96 | $419.62 |