| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $23.73 | $23.73 | $23.73 |
BCBS
| Facility | 26 | $19.29 | $19.29 | $19.29 |
Cigna
| Facility | 26 | $51.28 | $80.03 | $192.52 |
Health Partners
| Facility | 26 | $44.43 | $70.56 | $151.59 |
Medica
| Facility | 26 | $117.00 | $117.00 | $117.00 |