| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $60.38 | $60.38 | $60.38 |
BCBS
| Facility | 26 | $49.23 | $49.23 | $49.23 |
Cigna
| Facility | 26 | $118.63 | $200.97 | $494.22 |
Health Partners
| Facility | 26 | $105.64 | $181.13 | $389.15 |
Medica
| Facility | 26 | $276.95 | $276.95 | $276.95 |