| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.05 | $173.05 | $173.05 | |
Aetna
| Professional | $132.90 | $173.05 | $254.63 | |
BCBS
| Facility | $244.56 | $260.30 | $403.38 | |
BCBS
| Professional | $224.97 | $272.77 | $281.20 | |
Cigna
| Facility | $211.82 | $652.79 | $1,813.10 | |
Cigna
| Professional | $246.38 | $261.16 | $312.89 | |
Health Partners
| Facility | $387.56 | $626.33 | $1,427.64 | |
Health Partners
| Professional | $246.38 | $246.38 | $252.40 | |
Medica
| Facility | $71.66 | $212.66 | $943.35 | |
Medica
| Professional | $102.68 | $171.99 | $346.95 | |
United
| Professional | $102.68 | $171.99 | $346.95 |