| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $56.81 | $56.81 | $56.81 |
BCBS
| Facility | 26 | $46.36 | $46.36 | $46.36 |
Cigna
| Facility | 26 | $111.05 | $188.12 | $462.61 |
Health Partners
| Facility | 26 | $98.89 | $169.55 | $364.26 |
Medica
| Facility | 26 | $248.27 | $248.27 | $248.27 |