| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $87.44 | $87.44 | $87.44 |
BCBS
| Facility | 26 | $71.40 | $71.40 | $71.40 |
Cigna
| Facility | 26 | $190.56 | $297.41 | $715.47 |
Health Partners
| Facility | 26 | $165.14 | $262.22 | $563.36 |
Medica
| Facility | 26 | $799.28 | $799.28 | $799.28 |