| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $398.05 | $398.05 | $398.05 | |
Aetna
| Professional | $266.55 | $398.05 | $398.05 | |
BCBS
| Facility | $493.74 | $611.47 | $805.50 | |
BCBS
| Professional | $458.30 | $544.24 | $572.88 | |
Cigna
| Facility | $347.46 | $1,768.05 | $4,910.60 | |
Cigna
| Professional | $664.13 | $703.97 | $843.44 | |
Health Partners
| Facility | $1,049.67 | $1,696.35 | $3,866.61 | |
Health Partners
| Professional | $664.13 | $664.13 | $683.60 | |
Medica
| Facility | $171.31 | $572.88 | $2,780.76 | |
Medica
| Professional | $171.75 | $257.63 | $614.27 | |
United
| Professional | $201.72 | $429.38 | $1,011.13 |