| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $56.23 | $56.23 | $56.23 |
BCBS
| Facility | 26 | $40.74 | $46.77 | $46.77 |
Cigna
| Facility | 26 | $44.67 | $173.78 | $478.63 |
Health Partners
| Facility | 26 | $154.88 | $194.98 | $380.19 |
Medica
| Facility | 26 | $245.47 | $245.47 | $245.47 |