| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $28.52 | $28.52 | $28.52 |
BCBS
| Facility | 26 | $23.32 | $23.32 | $23.32 |
Cigna
| Facility | 26 | $55.87 | $94.64 | $232.74 |
Health Partners
| Facility | 26 | $49.75 | $85.30 | $183.26 |
Medica
| Facility | 26 | $125.66 | $125.66 | $125.66 |