| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $294.83 | $294.83 | $294.83 | |
Aetna
| Professional | $222.29 | $294.83 | $375.71 | |
BCBS
| Facility | $416.66 | $440.95 | $668.83 | |
BCBS
| Professional | $379.07 | $459.62 | $473.84 | |
Cigna
| Facility | $382.03 | $1,127.66 | $3,131.98 | |
Cigna
| Professional | $426.00 | $451.56 | $541.02 | |
Health Partners
| Facility | $669.48 | $1,081.93 | $2,466.13 | |
Health Partners
| Professional | $426.00 | $426.00 | $436.00 | |
Medica
| Facility | $123.83 | $367.46 | $1,660.98 | |
Medica
| Professional | $171.75 | $273.88 | $575.28 | |
United
| Professional | $171.75 | $257.63 | $575.28 |