| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $741.00 | $741.00 | $741.00 | |
Aetna
| Professional | $58.76 | $58.76 | $58.76 | |
BCBS
| Facility | $162.34 | $167.36 | $333.42 | |
Cigna
| Facility | $259.52 | $386.82 | $450.21 | |
Health Partners
| Facility | $223.85 | $351.65 | $511.50 | |
Medica
| Facility | $333.42 | $333.42 | $333.42 |