| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $245.47 | $245.47 | $245.47 | |
Aetna
| Professional | $162.18 | $245.47 | $363.08 | |
BCBS
| Facility | $363.08 | $407.38 | $616.60 | |
BCBS
| Professional | $323.59 | $407.38 | $407.38 | |
Cigna
| Facility | $660.69 | $1,148.15 | $2,691.53 | |
Cigna
| Professional | $354.81 | $398.11 | $446.68 | |
Health Partners
| Facility | $870.96 | $1,122.02 | $2,137.96 | |
Health Partners
| Professional | $354.81 | $354.81 | $478.63 | |
Medica
| Facility | $199.53 | $302.00 | $575.44 | |
Medica
| Professional | $147.91 | $218.78 | $467.74 | |
United
| Facility | $3.55 | $218.78 | $489.78 | |
United
| Professional | $147.91 | $239.88 | $467.74 |