| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $28.18 | $28.18 | $28.18 |
BCBS
| Facility | 26 | $20.42 | $23.44 | $23.44 |
Cigna
| Facility | 26 | $22.91 | $89.13 | $245.47 |
Health Partners
| Facility | 26 | $79.43 | $97.72 | $190.55 |
Medica
| Facility | 26 | $125.89 | $125.89 | $125.89 |