| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $405.00 | $405.00 | $405.00 | |
Aetna
| Professional | $269.08 | $364.38 | $428.74 | |
BCBS
| Facility | $502.37 | $622.16 | $819.57 | |
BCBS
| Professional | $466.30 | $553.74 | $582.88 | |
Cigna
| Facility | $325.37 | $1,798.05 | $4,993.93 | |
Cigna
| Professional | $675.75 | $716.30 | $858.20 | |
Health Partners
| Facility | $1,067.48 | $1,725.14 | $3,932.23 | |
Health Partners
| Professional | $675.75 | $675.75 | $695.20 | |
Medica
| Facility | $172.74 | $582.88 | $2,714.31 | |
Medica
| Professional | $173.18 | $288.39 | $636.17 | |
United
| Professional | $173.18 | $288.39 | $585.32 |