| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $106.62 | $106.62 | $106.62 | |
Aetna
| Professional | $72.00 | $106.62 | $156.84 | |
BCBS
| Facility | $150.55 | $160.47 | $498.22 | |
BCBS
| Professional | $138.69 | $164.71 | $173.38 | |
Cigna
| Facility | $52.17 | $401.41 | $1,114.86 | |
Cigna
| Professional | $151.88 | $160.99 | $192.88 | |
Health Partners
| Facility | $238.31 | $385.13 | $877.85 | |
Health Partners
| Professional | $151.88 | $151.88 | $155.19 | |
Medica
| Facility | $29.67 | $130.91 | $580.79 | |
Medica
| Professional | $63.35 | $106.27 | $395.88 | |
United
| Professional | $63.35 | $106.11 | $214.13 |