| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $16.01 | $16.01 | $16.01 |
BCBS
| Facility | 26 | $12.95 | $12.95 | $12.95 |
Cigna
| Facility | 26 | $31.04 | $52.58 | $129.30 |
Health Partners
| Facility | 26 | $27.64 | $47.39 | $101.81 |
Medica
| Facility | 26 | $100.00 | $100.00 | $100.00 |