| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.63 | $50.63 | $50.63 | |
Aetna
| Professional | $34.22 | $50.63 | $74.48 | |
BCBS
| Facility | $71.54 | $76.14 | $117.98 | |
BCBS
| Professional | $65.81 | $78.15 | $82.26 | |
Cigna
| Facility | $57.67 | $190.36 | $528.70 | |
Cigna
| Professional | $72.00 | $76.31 | $91.44 | |
Health Partners
| Facility | $113.01 | $182.64 | $416.30 | |
Health Partners
| Professional | $72.00 | $72.00 | $73.59 | |
Medica
| Facility | $29.96 | $62.21 | $275.93 | |
Medica
| Professional | $30.04 | $50.41 | $101.48 | |
United
| Professional | $30.04 | $50.41 | $101.48 |