| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.03 | $47.03 | $47.03 | |
Aetna
| Professional | $21.67 | $47.03 | $69.20 | |
BCBS
| Facility | $66.47 | $70.76 | $109.64 | |
BCBS
| Professional | $61.15 | $74.15 | $76.44 | |
Cigna
| Facility | $52.17 | $176.91 | $491.35 | |
Cigna
| Professional | $67.13 | $71.15 | $85.25 | |
Health Partners
| Facility | $105.03 | $169.73 | $386.89 | |
Health Partners
| Professional | $67.13 | $67.13 | $68.40 | |
Medica
| Facility | $19.48 | $57.80 | $256.42 | |
Medica
| Professional | $27.91 | $46.82 | $94.31 | |
United
| Professional | $27.91 | $41.86 | $94.31 |