| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.30 | $67.30 | $67.30 | |
Aetna
| Professional | $50.47 | $67.30 | $84.31 | |
BCBS
| Facility | $151.12 | $151.12 | $889.55 | |
BCBS
| Professional | $120.90 | $151.12 | $151.12 | |
Cigna
| Facility | $75.05 | $279.33 | $775.81 | |
Cigna
| Professional | $101.25 | $107.33 | $128.59 | |
Health Partners
| Facility | $165.83 | $265.41 | $610.88 | |
Health Partners
| Professional | $101.25 | $101.25 | $108.00 | |
Medica
| Facility | $44.33 | $129.03 | $472.60 | |
Medica
| Professional | $38.54 | $58.51 | $128.99 | |
United
| Professional | $38.54 | $58.51 | $117.77 |