| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.74 | $97.74 | $97.74 | |
Aetna
| Professional | $75.05 | $97.74 | $143.79 | |
BCBS
| Facility | $138.12 | $147.02 | $227.85 | |
BCBS
| Professional | $127.06 | $150.88 | $158.83 | |
Cigna
| Facility | $128.79 | $368.30 | $1,022.92 | |
Cigna
| Professional | $139.13 | $147.47 | $176.69 | |
Health Partners
| Facility | $218.66 | $353.37 | $805.45 | |
Health Partners
| Professional | $139.13 | $139.13 | $142.40 | |
Medica
| Facility | $40.47 | $120.10 | $532.72 | |
Medica
| Professional | $57.99 | $97.13 | $195.97 | |
United
| Professional | $57.99 | $96.57 | $195.97 |