| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $240.06 | $240.06 | $240.06 | |
Aetna
| Professional | $159.50 | $240.06 | $254.63 | |
BCBS
| Facility | $297.77 | $368.78 | $485.80 | |
BCBS
| Professional | $276.39 | $328.23 | $345.50 | |
Cigna
| Facility | $192.91 | $1,065.58 | $2,959.58 | |
Cigna
| Professional | $400.50 | $424.53 | $508.64 | |
Health Partners
| Facility | $632.63 | $1,022.38 | $2,330.38 | |
Health Partners
| Professional | $400.50 | $400.50 | $412.00 | |
Medica
| Facility | $102.41 | $345.50 | $1,609.26 | |
Medica
| Professional | $102.68 | $170.99 | $377.06 | |
United
| Professional | $102.68 | $171.99 | $346.95 |