| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $60.26 | $60.26 | $60.26 |
BCBS
| Facility | 26 | $43.65 | $50.12 | $50.12 |
Cigna
| Facility | 26 | $48.98 | $186.21 | $512.86 |
Health Partners
| Facility | 26 | $165.96 | $208.93 | $407.38 |
Medica
| Facility | 26 | $275.42 | $275.42 | $275.42 |