| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.59 | $69.59 | $69.59 | |
Aetna
| Professional | $42.61 | $53.85 | $75.89 | |
BCBS
| Facility | $86.32 | $106.90 | $140.82 | |
BCBS
| Professional | $80.13 | $95.15 | $100.16 | |
Cigna
| Facility | $53.85 | $309.33 | $859.14 | |
Cigna
| Professional | $116.25 | $123.23 | $147.63 | |
Health Partners
| Facility | $183.65 | $296.79 | $676.49 | |
Health Partners
| Professional | $116.25 | $116.25 | $119.60 | |
Medica
| Facility | $28.59 | $100.16 | $456.49 | |
Medica
| Professional | $28.66 | $43.00 | $120.19 | |
United
| Professional | $28.66 | $48.01 | $113.78 |