| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.82 | $45.82 | $45.82 | |
Aetna
| Professional | $22.71 | $43.55 | $45.82 | |
BCBS
| Facility | $56.49 | $65.94 | $91.83 | |
BCBS
| Professional | $52.75 | $62.64 | $65.94 | |
Cigna
| Facility | $30.91 | $203.81 | $566.04 | |
Cigna
| Professional | $76.50 | $81.09 | $97.16 | |
Health Partners
| Facility | $121.00 | $195.54 | $445.71 | |
Health Partners
| Professional | $76.50 | $76.50 | $78.80 | |
Medica
| Facility | $16.41 | $65.91 | $263.25 | |
Medica
| Professional | $16.45 | $27.42 | $66.22 | |
United
| Professional | $16.45 | $27.42 | $84.74 |