| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.36 | $32.36 | $32.36 | |
Aetna
| Professional | $23.99 | $28.18 | $41.69 | |
BCBS
| Facility | $34.67 | $35.48 | $35.48 | |
BCBS
| Professional | $28.18 | $35.48 | $35.48 | |
Cigna
| Facility | $75.86 | $134.90 | $323.59 | |
Cigna
| Professional | $40.74 | $51.29 | $70.79 | |
Health Partners
| Facility | $85.11 | $120.23 | $251.19 | |
Health Partners
| Professional | $39.81 | $39.81 | $66.07 | |
Medica
| Facility | $35.48 | $61.66 | $107.15 | |
Medica
| Professional | $14.79 | $20.89 | $93.33 | |
United
| Facility | $35.48 | $35.48 | $41.69 | |
United
| Professional | $14.79 | $28.84 | $74.13 |