| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $67.14 | $67.14 | $67.14 |
BCBS
| Facility | 26 | $54.13 | $54.13 | $54.13 |
Cigna
| Facility | 26 | $143.88 | $224.55 | $540.19 |
Health Partners
| Facility | 26 | $124.68 | $197.98 | $425.35 |
Medica
| Facility | 26 | $296.70 | $296.70 | $296.70 |