| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $338.94 | $338.94 | $338.94 | |
Aetna
| Professional | $238.20 | $338.94 | $338.94 | |
BCBS
| Facility | $420.42 | $520.66 | $685.86 | |
BCBS
| Professional | $390.24 | $463.41 | $487.80 | |
Cigna
| Facility | $297.02 | $1,505.27 | $4,180.76 | |
Cigna
| Professional | $565.50 | $599.42 | $718.19 | |
Health Partners
| Facility | $893.66 | $1,444.23 | $3,291.94 | |
Health Partners
| Professional | $565.50 | $565.50 | $582.00 | |
Medica
| Facility | $151.11 | $487.80 | $2,464.07 | |
Medica
| Professional | $151.51 | $233.20 | $532.27 | |
United
| Professional | $151.51 | $227.26 | $489.84 |