| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.25 | $65.25 | $65.25 | |
Aetna
| Professional | $40.04 | $50.39 | $65.25 | |
BCBS
| Facility | $80.93 | $100.24 | $132.04 | |
BCBS
| Professional | $75.13 | $89.21 | $93.91 | |
Cigna
| Facility | $58.60 | $289.67 | $804.55 | |
Cigna
| Professional | $108.75 | $115.28 | $138.11 | |
Health Partners
| Facility | $171.98 | $277.93 | $633.50 | |
Health Partners
| Professional | $108.75 | $108.75 | $112.00 | |
Medica
| Facility | $27.84 | $93.91 | $437.39 | |
Medica
| Professional | $27.91 | $46.48 | $102.51 | |
United
| Professional | $27.91 | $42.53 | $97.72 |