| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $135.60 | $135.60 | $135.60 | |
Aetna
| Professional | $90.07 | $135.60 | $143.79 | |
BCBS
| Facility | $168.20 | $208.30 | $274.39 | |
BCBS
| Professional | $156.12 | $185.39 | $195.15 | |
Cigna
| Facility | $112.22 | $602.11 | $1,672.30 | |
Cigna
| Professional | $226.13 | $239.69 | $287.18 | |
Health Partners
| Facility | $357.46 | $577.69 | $1,316.78 | |
Health Partners
| Professional | $226.13 | $226.13 | $232.80 | |
Medica
| Facility | $57.84 | $195.15 | $908.81 | |
Medica
| Professional | $57.99 | $97.13 | $203.04 | |
United
| Professional | $57.99 | $96.57 | $203.04 |