| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.90 | $134.90 | $134.90 | |
Aetna
| Professional | $81.28 | $104.71 | $158.49 | |
BCBS
| Facility | $190.55 | $194.98 | $288.40 | |
BCBS
| Professional | $154.88 | $194.98 | $194.98 | |
Cigna
| Facility | $426.58 | $741.31 | $1,737.80 | |
Cigna
| Professional | $223.87 | $257.04 | $288.40 | |
Health Partners
| Facility | $562.34 | $724.44 | $1,380.38 | |
Health Partners
| Professional | $223.87 | $223.87 | $309.03 | |
Medica
| Facility | $83.18 | $194.98 | $912.01 | |
Medica
| Professional | $57.54 | $87.10 | $213.80 | |
United
| Facility | $1.38 | $87.10 | $234.42 | |
United
| Professional | $64.57 | $95.50 | $234.42 |