| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $22.19 | $22.19 | $22.19 |
BCBS
| Facility | 26 | $18.14 | $18.14 | $18.14 |
Cigna
| Facility | 26 | $43.45 | $73.61 | $181.02 |
Health Partners
| Facility | 26 | $38.69 | $66.34 | $142.54 |
Medica
| Facility | 26 | $129.00 | $129.00 | $129.00 |