| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.11 | $33.11 | $33.11 | |
Aetna
| Professional | $20.89 | $33.11 | $43.65 | |
BCBS
| Facility | $48.98 | $53.70 | $81.28 | |
BCBS
| Professional | $43.65 | $53.70 | $53.70 | |
Cigna
| Facility | $89.13 | $151.36 | $363.08 | |
Cigna
| Professional | $46.77 | $53.70 | $60.26 | |
Health Partners
| Facility | $117.49 | $151.36 | $288.40 | |
Health Partners
| Professional | $46.77 | $46.77 | $64.57 | |
Medica
| Facility | $27.54 | $40.74 | $173.78 | |
Medica
| Professional | $19.95 | $29.51 | $63.10 | |
United
| Facility | $0.47 | $29.51 | $66.07 | |
United
| Professional | $19.95 | $33.11 | $63.10 |