| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $83.57 | $83.57 | $83.57 |
BCBS
| Facility | 26 | $68.53 | $68.53 | $68.53 |
Cigna
| Facility | 26 | $182.91 | $285.47 | $686.74 |
Health Partners
| Facility | 26 | $158.50 | $251.69 | $540.74 |
Medica
| Facility | 26 | $767.44 | $767.44 | $767.44 |