| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $22.64 | $22.64 | $22.64 |
BCBS
| Facility | 26 | $18.42 | $18.42 | $18.42 |
Cigna
| Facility | 26 | $48.98 | $76.44 | $183.90 |
Health Partners
| Facility | 26 | $42.44 | $69.76 | $144.80 |
Medica
| Facility | 26 | $108.06 | $108.06 | $108.06 |