| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $16.72 | $16.72 | $16.72 |
BCBS
| Facility | 26 | $13.52 | $13.52 | $13.52 |
Cigna
| Facility | 26 | $32.42 | $54.92 | $135.05 |
Health Partners
| Facility | 26 | $28.87 | $49.50 | $106.34 |
Medica
| Facility | 26 | $100.00 | $100.00 | $100.00 |