| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $418.66 | $418.66 | $418.66 | |
Aetna
| Professional | $276.83 | $418.66 | $428.93 | |
BCBS
| Facility | $519.30 | $643.15 | $847.22 | |
BCBS
| Professional | $482.03 | $572.41 | $602.54 | |
Cigna
| Facility | $380.61 | $1,859.09 | $5,163.45 | |
Cigna
| Professional | $698.63 | $740.54 | $887.25 | |
Health Partners
| Facility | $1,103.72 | $1,783.70 | $4,065.71 | |
Health Partners
| Professional | $698.63 | $698.63 | $718.80 | |
Medica
| Facility | $178.06 | $602.54 | $2,801.35 | |
Medica
| Professional | $178.52 | $294.12 | $622.71 | |
United
| Professional | $178.52 | $297.29 | $625.09 |