| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $38.90 | $38.90 | $38.90 |
BCBS
| Facility | 26 | $29.51 | $34.67 | $34.67 |
Cigna
| Facility | 26 | $31.62 | $123.03 | $338.84 |
Health Partners
| Facility | 26 | $109.65 | $138.04 | $269.15 |
Medica
| Facility | 26 | $173.78 | $173.78 | $173.78 |